Provider Demographics
NPI:1992398846
Name:COHEN, DAVID (LMHC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 LANCASTER RD FL 33426
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8432
Mailing Address - Country:US
Mailing Address - Phone:561-400-2995
Mailing Address - Fax:
Practice Address - Street 1:4400 SOUTH FEDERAL HWY
Practice Address - Street 2:SUITE 210-33
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-3423
Practice Address - Country:US
Practice Address - Phone:561-450-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19499101Y00000X, 101YM0800X
FLMH17564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor