Provider Demographics
NPI:1801567557
Name:TRAUMA COUNSELING OF FLORIDA, LLC
Entity type:Organization
Organization Name:TRAUMA COUNSELING OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:SHIFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-736-4506
Mailing Address - Street 1:4400 NW 73RD WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2164
Mailing Address - Country:US
Mailing Address - Phone:954-520-4084
Mailing Address - Fax:
Practice Address - Street 1:4400 NW 73RD WAY
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2164
Practice Address - Country:US
Practice Address - Phone:954-520-4084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty