Provider Demographics
NPI:1992143473
Name:FRIEDMAN FAMILY THERAPY, LLC
Entity type:Organization
Organization Name:FRIEDMAN FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-932-0016
Mailing Address - Street 1:1800 S OCEAN DR
Mailing Address - Street 2:APT 1904
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7734
Mailing Address - Country:US
Mailing Address - Phone:786-519-2406
Mailing Address - Fax:
Practice Address - Street 1:20801 BISCAYNE BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1430
Practice Address - Country:US
Practice Address - Phone:305-932-0016
Practice Address - Fax:305-932-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty