SEASONS PSYCHOTHERAPY ASSOCIATES LLC (NPI# 1639796675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639796675 |
| Entity Type | Organization |
| Organization Name | SEASONS PSYCHOTHERAPY ASSOCIATES LLC |
| Practice Address |
12505 Orange Dr Ste 908 Davie FL 33330-4300 |
| Mailing Address |
4301 S Flamingo Rd Ste 106-118 Davie FL 33330-1902 |
| Practice Telephone | 9543420982 |
| Mailing Telephone | 9543420982 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | CAROL MIRONES (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9543420982 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 S Flamingo Rd Ste 106-118, Davie, FL 333301902 | 9543420982 |
| Street Address |
12505 ORANGE DR STE 908 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681137 | Carol Mirones | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-05-19 |
| 1548860109 | Act Florida, LLC | Community/Behavioral Health | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-31 |
| 1699372334 | Katina Williams Nelson | Counselor | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-06 |
| 1073110987 | Jessica Fernandez | Marriage & Family Therapist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-04 |
| 1962009092 | Carol Mirones LLC | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891931952 | Healing Hooves Psychotherapy Inc | Clinic/Center | 3500 Peaceful Ridge Rd, Davie, FL 33330-1629 | 2008-12-19 |
| 1851434799 | Applied Concepts In Mental Health, Inc. | Clinic/Center | 14131 Sw 33rd Ct, Davie, FL 33330-4684 | 2007-02-14 |
| 1669092748 | Beheart Counseling Services | Clinic/Center | 8380 W State Road 84, Davie, FL 33324-4546 | 2020-04-20 |
| 1184029845 | Gina V Eaton, Lcsw, Pa | Clinic/Center | 12555 Orange Dr, Suite 215, Davie, FL 33330-4304 | 2014-10-23 |
| 1770762676 | New Life Mental Health Center | Clinic/Center | 6700 Griffin Rd, Suite J, Davie, FL 33314-4300 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEASONS PSYCHOTHERAPY ASSOCIATES LLC.
| 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.