Provider Demographics
NPI:1104175843
Name:COUNSELING SERVICES ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:COUNSELING SERVICES ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM SCHEFT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEFT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-272-8880
Mailing Address - Street 1:660 LINTON BLVD.
Mailing Address - Street 2:SUITE 206-F
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444
Mailing Address - Country:US
Mailing Address - Phone:561-272-8880
Mailing Address - Fax:561-272-9330
Practice Address - Street 1:660 LINTON BLVD.
Practice Address - Street 2:SUITE 206-F
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444
Practice Address - Country:US
Practice Address - Phone:561-272-8880
Practice Address - Fax:561-272-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty