Provider Demographics
NPI:1841811064
Name:TOZZENHOWER
Entity type:Organization
Organization Name:TOZZENHOWER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OUBADJI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:754-225-2120
Mailing Address - Street 1:18851 NE 29TH AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2845
Mailing Address - Country:US
Mailing Address - Phone:754-225-2120
Mailing Address - Fax:888-825-2689
Practice Address - Street 1:18851 NE 29TH AVE STE 700
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2845
Practice Address - Country:US
Practice Address - Phone:754-225-2120
Practice Address - Fax:888-825-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health