Provider Demographics
NPI:1194925727
Name:HUMANISTIC CENTER FOR COUNSELING SERVICES
Entity type:Organization
Organization Name:HUMANISTIC CENTER FOR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PENZER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-475-1371
Mailing Address - Street 1:150 S UNIVERSITY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3359
Mailing Address - Country:US
Mailing Address - Phone:954-475-1371
Mailing Address - Fax:
Practice Address - Street 1:150 S UNIVERSITY DR
Practice Address - Street 2:SUITE A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3359
Practice Address - Country:US
Practice Address - Phone:954-475-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-22
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2497103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty