MRS. DANIELE ALEXIS TREVATHAN (NPI# 1174990667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174990667 |
| Entity Type | Individual |
| Full Name | MRS. DANIELE ALEXIS TREVATHAN |
| Credential | LMHC, QS, CAP |
| Practice Address |
1600 S Dixie Hwy Ste 508 Boca Raton FL 33432-7454 |
| Mailing Address |
842 Sw 9th Street Cir Apt 203 Boca Raton FL 33486-5215 |
| Practice Telephone | 5614632073 |
| Mailing Telephone | 5612064121 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ADC0012622014 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12256 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 842 Sw 9th Street Cir Apt 203, Boca Raton, FL 334865215 | 5612064121 |
| Street Address |
1600 S DIXIE HWY STE 508 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-7454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742295 | Calm Waters Counseling Services, LLC | Clinic/Center | 1600 S Dixie Hwy Ste 508, Boca Raton, FL 33432-7454 | 2019-07-24 |
| 1083143689 | Me Time Healing LLC | Counselor | 1600 S Dixie Hwy Ste 508, Boca Raton, FL 33432-7454 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396344040 | Lauren Lenter Shapiro | Counselor | 22158 Bella Lago Dr Apt 2108, Boca Raton, FL 33433-4824 | 2020-10-23 |
| 1639778574 | Jaime D'alessio | Counselor | 413 E Palmetto Park Rd Apt 953, Boca Raton, FL 33432-5195 | 2020-10-21 |
| 1194332502 | Sari Elissa Cohen | Counselor | 8190 Via Di Veneto, Boca Raton, FL 33496-1974 | 2020-09-29 |
| 1245847235 | Kristen Souza | Counselor | 10067 Akenside Dr, Boca Raton, FL 33428-3003 | 2020-09-24 |
| 1275143935 | Lindsay Haas Grobstein | Counselor | 4940 Nw 15th Ave, Boca Raton, FL 33431-3327 | 2020-08-06 |
| 1497380695 | Olga Sophia Grinfeld | Counselor | 751 Park of Commerce Dr Ste 128, Boca Raton, FL 33487-3623 | 2020-03-08 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1205477486 | Deborah Hecker | Counselor | 1303 Bridgewood Dr, Boca Raton, FL 33434-4129 | 2019-09-30 |
| 1700434461 | Rikki Goldenberg | Counselor | 7777 Glades Rd Ste 321, Boca Raton, FL 33434-4150 | 2019-08-27 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on MRS. DANIELE ALEXIS TREVATHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.