Provider Demographics
NPI:1255767133
Name:GORKIN, ONIKA (MFT)
Entity type:Individual
Prefix:MRS
First Name:ONIKA
Middle Name:
Last Name:GORKIN
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 1:10889 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4053
Mailing Address - Country:US
Mailing Address - Phone:954-628-2488
Mailing Address - Fax:954-962-1246
Practice Address - Street 1:6365 TAFT ST
Practice Address - Street 2:SUITE 1004
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5952
Practice Address - Country:US
Practice Address - Phone:954-962-1225
Practice Address - Fax:954-962-1246
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT1921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist