Provider Demographics
NPI:1770886277
Name:ACTION RELATIONAL THERAPY OF FLORIDA INC
Entity type:Organization
Organization Name:ACTION RELATIONAL THERAPY OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-391-9816
Mailing Address - Street 1:6790 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3900
Mailing Address - Country:US
Mailing Address - Phone:954-391-9816
Mailing Address - Fax:954-404-6728
Practice Address - Street 1:6790 TAFT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-3900
Practice Address - Country:US
Practice Address - Phone:954-391-9816
Practice Address - Fax:954-404-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2509251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health