Provider Demographics
NPI:1962206805
Name:BREZNITSKY, DREW DAVID (LMHC)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:DAVID
Last Name:BREZNITSKY
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 HAWTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4033
Mailing Address - Country:US
Mailing Address - Phone:321-978-4041
Mailing Address - Fax:
Practice Address - Street 1:1640 HIGHWAY A1A STE C
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-5451
Practice Address - Country:US
Practice Address - Phone:321-978-4041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty