Provider Demographics
NPI:1316315260
Name:PSYCHNOW
Entity type:Organization
Organization Name:PSYCHNOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:LISSI
Authorized Official - Middle Name:
Authorized Official - Last Name:SENEWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-287-1808
Mailing Address - Street 1:1615 S CONGRESS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6300
Mailing Address - Country:US
Mailing Address - Phone:561-287-1808
Mailing Address - Fax:928-708-9620
Practice Address - Street 1:1615 S CONGRESS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6300
Practice Address - Country:US
Practice Address - Phone:561-287-1808
Practice Address - Fax:928-708-9620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty