Provider Demographics
NPI:1154943629
Name:SOCIAL SCIENCE AND RESEARCH CONSULTANTS LLC
Entity type:Organization
Organization Name:SOCIAL SCIENCE AND RESEARCH CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:786-246-7121
Mailing Address - Street 1:PO BOX 814358
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-4358
Mailing Address - Country:US
Mailing Address - Phone:786-246-7121
Mailing Address - Fax:707-443-3204
Practice Address - Street 1:3856 SW 52ND AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6905
Practice Address - Country:US
Practice Address - Phone:786-246-7121
Practice Address - Fax:707-443-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty