Provider Demographics
NPI:1922752831
Name:COHEN, ILENE STRAUSS (MFT)
Entity Type:Individual
Prefix:DR
First Name:ILENE
Middle Name:STRAUSS
Last Name:COHEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 WINDWARD WAY
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2126
Mailing Address - Country:US
Mailing Address - Phone:305-924-0169
Mailing Address - Fax:
Practice Address - Street 1:984 WINDWARD WAY
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-2126
Practice Address - Country:US
Practice Address - Phone:305-924-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist