NPI 1124553151 · live from the CMS NPI Registry
A & O Psychotherapy LLC
Social Worker, Clinical in Boca Raton, FL. National Provider Identifier 1124553151, active.
NPI record
| NPI | 1124553151 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 21301 Powerline Road, Suite 304, Boca Raton, FL 33433 |
| Practice phone | 954-683-5138 |
| Mailing address | 18261 181st Circle South, Boca Raton, FL 33498 |
| Enumerated | April 27, 2017 |
| Last updated | February 15, 2018 |
| Authorized official | Alisa Fernandez, LCSW |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SW 9755 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.