Provider Demographics
NPI:1689982415
Name:INFINITE BEHAVIORAL HEALTH, INC
Entity Type:Organization
Organization Name:INFINITE BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAZRACHI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-915-0551
Mailing Address - Street 1:2421 HOLLYWOOD BLVD.
Mailing Address - Street 2:SUITE 1 AND 2
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6711
Mailing Address - Country:US
Mailing Address - Phone:954-309-5667
Mailing Address - Fax:305-935-3172
Practice Address - Street 1:2421 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 1 AND 2
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6605
Practice Address - Country:US
Practice Address - Phone:954-923-9111
Practice Address - Fax:954-923-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7670103TC0700X
FLME63070103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty