Provider Demographics
NPI:1396330858
Name:ITS ALL GRIEF, LLC
Entity type:Organization
Organization Name:ITS ALL GRIEF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE-PLEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:954-412-9698
Mailing Address - Street 1:PO BOX 1298
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061-1298
Mailing Address - Country:US
Mailing Address - Phone:954-412-9698
Mailing Address - Fax:
Practice Address - Street 1:800 NE 62ND ST STE 406
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-3522
Practice Address - Country:US
Practice Address - Phone:954-412-9698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-07
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty