Provider Demographics
NPI:1740026293
Name:BE THE ONE COUNSELING SERVICES
Entity type:Organization
Organization Name:BE THE ONE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED CLINICAL SOCIAL WORK
Authorized Official - Prefix:MS
Authorized Official - First Name:KARRAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:FORT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:954-372-6958
Mailing Address - Street 1:PO BOX 120965
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-0007
Mailing Address - Country:US
Mailing Address - Phone:954-372-6958
Mailing Address - Fax:
Practice Address - Street 1:535 NW 29TH TER
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-7637
Practice Address - Country:US
Practice Address - Phone:954-372-6958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BE THE ONE COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-03
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty