AUTUMN KATHLEEN DOLAN (NPI# 1396389235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396389235 |
| Entity Type | Individual |
| Full Name | AUTUMN KATHLEEN DOLAN |
| Credential | LMFT |
| Practice Address |
11011 Sheridan St Ste 211 Hollywood FL 33026-1531 |
| Mailing Address |
5240 N Hills Dr Hollywood FL 33021-1623 |
| Practice Telephone | 9549512929 |
| Mailing Telephone | 7542646255 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT3448 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5240 N Hills Dr, Hollywood, FL 330211623 | 7542646255 |
| Street Address |
11011 SHERIDAN ST STE 211 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205285848 | Lexa Gabrielle Bender | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2016-06-04 |
| 1588270631 | Ena Pena | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2020-09-23 |
| 1356985022 | Rosi Gimeno Therapy, LLC | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-11-05 |
| 1316588874 | Viviana Vethencourt | Counselor | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-10-04 |
| 1124671243 | Rachel A Smith | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2019-07-17 |
| 1184193369 | Jean-michael Bouciquot | Marriage & Family Therapist | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2018-11-17 |
| 1831686567 | Be Empowered Coaching, Inc. | Social Worker | 11011 Sheridan St Ste 211, Hollywood, FL 33026-1531 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
| 1508489188 | Jessica Popham | Marriage & Family Therapist | 1437 Dewey St, Hollywood, FL 33020-6136 | 2020-05-18 |
| 1760910541 | Angela Dipasquale | Marriage & Family Therapist | 450 N Park Road, Hollywood, FL 33021 | 2017-05-24 |
| 1851827018 | Arlett Theresa Bagalue-tracey | Marriage & Family Therapist | 450 North Park Road Ste. 600, Hollywood, FL 33021 | 2017-05-10 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1801334719 | Sara Smith | Marriage & Family Therapist | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 |
| 1326356486 | Cecile Marie Dumornay | Marriage & Family Therapist | 6509 Flagler St, Hollywood, FL 33023-2127 | 2010-09-22 |
| 1265753917 | Nancy Yvonne Paris | Marriage & Family Therapist | 3133 N. 34th Street, Hollywood, FL 33021 | 2010-06-17 |
| 1043443963 | Rosie Goni | Marriage & Family Therapist | 3473 Emerald Oaks Dr, Hollywood, FL 33021-8444 | 2009-08-26 |
| 1538322268 | Jason Wasser | Marriage & Family Therapist | 1930 Harrison St, Suite 205, Hollywood, FL 33020-7824 | 2008-07-02 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on AUTUMN KATHLEEN DOLAN.
| 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.