Provider Demographics
NPI:1588867303
Name:PSYCHOLOGICAL INSTITUTE FOR WELLNESS AND EMPOWERMENT
Entity type:Organization
Organization Name:PSYCHOLOGICAL INSTITUTE FOR WELLNESS AND EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGALHAES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-937-0241
Mailing Address - Street 1:941 NE 19TH AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3092
Mailing Address - Country:US
Mailing Address - Phone:954-937-0241
Mailing Address - Fax:954-522-6508
Practice Address - Street 1:941 NE 19TH AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3092
Practice Address - Country:US
Practice Address - Phone:954-937-0241
Practice Address - Fax:954-522-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty