Provider Demographics
NPI:1740587260
Name:SENIOR HOME COUNSELING AND ADVOCACY, INC.
Entity Type:Organization
Organization Name:SENIOR HOME COUNSELING AND ADVOCACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:D
Authorized Official - Last Name:BLACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-602-4114
Mailing Address - Street 1:5700 LAKE WORTH RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4727
Mailing Address - Country:US
Mailing Address - Phone:561-602-4114
Mailing Address - Fax:561-455-9988
Practice Address - Street 1:8477 BONITA ISLE DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-5536
Practice Address - Country:US
Practice Address - Phone:561-602-4114
Practice Address - Fax:561-455-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 73301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty