Provider Demographics
NPI:1659796795
Name:NORA E. VENTURA P.A.
Entity Type:Organization
Organization Name:NORA E. VENTURA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:ELSA
Authorized Official - Last Name:VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-441-1991
Mailing Address - Street 1:1620 S OCEAN BLVD
Mailing Address - Street 2:15E
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7704
Mailing Address - Country:US
Mailing Address - Phone:954-441-1991
Mailing Address - Fax:954-337-2960
Practice Address - Street 1:1730 MAIN ST
Practice Address - Street 2:SUITE 226
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3675
Practice Address - Country:US
Practice Address - Phone:954-441-1991
Practice Address - Fax:954-337-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty