Provider Demographics
NPI:1295119170
Name:SOUTH FLORIDA COUNSELING AND CASE MANAGEMENT, LLC
Entity type:Organization
Organization Name:SOUTH FLORIDA COUNSELING AND CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE-MARIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSW, MCAP, ICA
Authorized Official - Phone:410-739-6582
Mailing Address - Street 1:2237 SE MERRILL RD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7026
Mailing Address - Country:US
Mailing Address - Phone:410-739-6582
Mailing Address - Fax:410-630-7204
Practice Address - Street 1:2237 SE MERRILL RD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7026
Practice Address - Country:US
Practice Address - Phone:410-739-6582
Practice Address - Fax:410-630-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty