Provider Demographics
NPI:1942479332
Name:BERGER, NAOMI (LMFT, LMHC CAP, CED)
Entity Type:Individual
Prefix:MR
First Name:NAOMI
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:LMFT, LMHC CAP, CED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 GLADES RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7378
Mailing Address - Country:US
Mailing Address - Phone:561-988-0375
Mailing Address - Fax:561-241-1972
Practice Address - Street 1:1900 GLADES RD STE 352
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7333
Practice Address - Country:US
Practice Address - Phone:561-988-0375
Practice Address - Fax:561-241-1972
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP1934101YA0400X
FLMHC4945101YM0800X
FLMT1665106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health