SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, LLC (NPI# 1912453432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912453432 |
| Entity Type | Organization |
| Organization Name | SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, LLC |
| Practice Address |
6773 Boniello Dr Boca Raton FL 33496-1546 |
| Practice Telephone | 5613509567 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | DR. LISA ALLEVA (CEO) |
| Authorized Official Telephone | 5613509567 |
| Authorized Official Credential | PH.D., LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
6773 BONIELLO DR |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| 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 |
|---|---|---|---|---|
| 1063050904 | Susan Albinder | Marriage & Family Therapist | 2448 Nw 62nd St, Boca Raton, FL 33496-3629 | 2019-12-11 |
| 1942865571 | Lauren Puleo | Marriage & Family Therapist | 33 E Camino Real Apt 416, Boca Raton, FL 33432-6153 | 2019-05-09 |
| 1386102929 | Elissa Pearl | Marriage & Family Therapist | 851 Broken Sound Pkwy Nw Ste 208, Boca Raton, FL 33487-3635 | 2019-03-02 |
| 1477060283 | Mariana Morales Girala | Marriage & Family Therapist | 1201 Nw 13th St, Boca Raton, FL 33486-2106 | 2018-01-02 |
| 1982158077 | Lori Lundin-fish | Marriage & Family Therapist | 3200 N Federal Hwy Ste 206-4, Boca Raton, FL 33431-6057 | 2016-08-07 |
| 1255701199 | Boca Raton Counseling Center LLC | Marriage & Family Therapist | 17723 Tiffany Trace Dr, Boca Raton, FL 33487-1225 | 2015-10-05 |
| 1972984615 | Jamie N. Brodarick | Marriage & Family Therapist | 7777 Glades Rd Ste 207b, Boca Raton, FL 33434-4150 | 2015-06-17 |
| 1992190706 | Weiss Psychotherapy Group | Marriage & Family Therapist | 5290 Park Place Cir, Boca Raton, FL 33486-1461 | 2015-03-30 |
| 1467853069 | Triglav Life Coaching, Inc | Marriage & Family Therapist | 6808 Palmetto Cir S, Suite 204, Boca Raton, FL 33433-3505 | 2014-09-15 |
| 1114366911 | Tahnee Isis Mendez | Marriage & Family Therapist | 22584 Sw 64th Way, Boca Raton, FL 33428-6003 | 2013-06-14 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, 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.