PATRICK BOURSIQUOT LCSW INC


Address: 951 Sansburys Way, Suite 206, West Palm Beach, FL 33411-3619
Phone: 5613373647

PATRICK BOURSIQUOT LCSW INC (NPI# 1205131786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205131786
Entity Type Organization
Organization Name PATRICK BOURSIQUOT LCSW INC
Practice Address 951 Sansburys Way
Suite 206
West Palm Beach
FL 33411-3619
Practice Telephone 5613373647
Practice Fax Number 5613373648
Mailing Telephone 5613373647
Mailing Fax Number 5613373648
Enumeration Date 2011-01-14
Last Update Date 2011-01-14
Authorized Official Name MR. PATRICK BOURSIQUOT (PRESIDENT)
Authorized Official Telephone 5613373647
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
SW5848 FL Behavioral Health & Social Service Providers

Office Location

Street Address 951 SANSBURYS WAY
SUITE 206
City WEST PALM BEACH
State FL
Zip Code 33411-3619

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NPI Name Taxonomy Address Enumeration
1174655542 Nilsa Haydee Toledo Dentist 951 Sansburys Way, Suite 201, West Palm Beach, FL 33411-3619 2007-03-12
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1801139118 Facial Orthopedics Inc Dentist 951 Sansburys Way, Suite 201, West Palm Beach, FL 33411-3619 2013-04-04
1912202490 Accurate Medical Network Inc. Contractor 951 Sansburys Way, Suite 206, West Palm Beach, FL 33411-3619 2011-01-14
1952524258 Patrick Boursiquot Social Worker 951 Sansburys Way, Suite 206, West Palm Beach, FL 33411-3619 2007-04-11

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WEST PALM BEACH
Zip Code 33411

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Dataset Information

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.

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