Provider Demographics
NPI:1154753382
Name:SCHIFFMAN, ELAINE MICHELLE (LMHC, RN)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:MICHELLE
Last Name:SCHIFFMAN
Suffix:
Gender:F
Credentials:LMHC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 N ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-7436
Mailing Address - Country:US
Mailing Address - Phone:954-463-4217
Mailing Address - Fax:954-764-3825
Practice Address - Street 1:650 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-7436
Practice Address - Country:US
Practice Address - Phone:954-463-4217
Practice Address - Fax:954-764-3825
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7265101YM0800X
FLRN1171022163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse