| Just Be Therapeutic Services | |
|
2500 Hollywood Blvd Ste 104 Hollywood FL 33020-6615 | |
| (786) 353-4622 | |
| (954) 944-5937 |
| Full Name | Just Be Therapeutic Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2500 Hollywood Blvd Ste 104, Hollywood, Florida |
| Authorized Official Name and Position | Sheniqua Dones-wallace (PSYCHOTHERAPIST/DIRECTOR) |
| Authorized Official Contact | 7863534622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Be Therapeutic Services 2131 Hollywood Blvd Ste 405 Hollywood FL 33020-6787 Ph: (786) 353-4622 | Just Be Therapeutic Services 2500 Hollywood Blvd Ste 104 Hollywood FL 33020-6615 Ph: (786) 353-4622 |
| NPI Number | 1275038473 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275038473 | NPI | - | NPPES |
| 014761500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13004 (Florida) | Primary |
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