Provider Demographics
NPI:1184893489
Name:THE PARENT RESOURCE, PA
Entity type:Organization
Organization Name:THE PARENT RESOURCE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:APPLEBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-441-5130
Mailing Address - Street 1:1000 N. HIATUS ROAD
Mailing Address - Street 2:SUITE# 110
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3094
Mailing Address - Country:US
Mailing Address - Phone:954-441-5130
Mailing Address - Fax:954-441-5129
Practice Address - Street 1:1000 N. HIATUS ROAD
Practice Address - Street 2:SUITE# 110
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3094
Practice Address - Country:US
Practice Address - Phone:954-441-5130
Practice Address - Fax:954-441-5129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4282103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty