Provider Demographics
NPI:1831526433
Name:FLAXMAN, WILLIAM EBERT II (MS, LMHC, NCC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EBERT
Last Name:FLAXMAN
Suffix:II
Gender:M
Credentials:MS, LMHC, NCC
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:ALBERT
Other - Last Name:EBERT
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 WASHINGTON AVE UNIT 154
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33119-2762
Mailing Address - Country:US
Mailing Address - Phone:727-313-7157
Mailing Address - Fax:
Practice Address - Street 1:1680 MICHIGAN AVE STE 912
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2550
Practice Address - Country:US
Practice Address - Phone:305-534-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health