Provider Demographics
NPI:1669527552
Name:SPALLONE, ADELE (LMHC, LMFT)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:SPALLONE
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7491 W. OAKLAND PARK BOULEVARD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319
Mailing Address - Country:US
Mailing Address - Phone:954-746-5667
Mailing Address - Fax:954-746-6387
Practice Address - Street 1:7491 W. OAKLAND PARK BOULEVARD
Practice Address - Street 2:SUITE 308
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-746-5667
Practice Address - Fax:954-746-6387
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4864101YM0800X
FLMT 1707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist