Provider Demographics
NPI:1881903144
Name:TWORETZKY, ERON (LMHC, CAP, CST)
Entity type:Individual
Prefix:MR
First Name:ERON
Middle Name:
Last Name:TWORETZKY
Suffix:
Gender:M
Credentials:LMHC, CAP, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 NW 99TH WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4024
Mailing Address - Country:US
Mailing Address - Phone:954-341-3924
Mailing Address - Fax:954-341-3919
Practice Address - Street 1:3275 NW 99TH WAY
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4024
Practice Address - Country:US
Practice Address - Phone:954-341-3924
Practice Address - Fax:954-341-3919
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
FLMH5823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health