Provider Demographics
NPI:1811237423
Name:DIRECT APPROACH COUNSELING LLC
Entity Type:Organization
Organization Name:DIRECT APPROACH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-289-0083
Mailing Address - Street 1:3200 N FEDERAL HWY
Mailing Address - Street 2:206-14
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6035
Mailing Address - Country:US
Mailing Address - Phone:561-289-0083
Mailing Address - Fax:561-955-6002
Practice Address - Street 1:3200 N FEDERAL HWY
Practice Address - Street 2:206-14
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6035
Practice Address - Country:US
Practice Address - Phone:561-289-0083
Practice Address - Fax:561-955-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty