MYSELF DISCOVERY, LLC (NPI# 1114202728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114202728 |
| Entity Type | Organization |
| Organization Name | MYSELF DISCOVERY, LLC |
| Practice Address |
400 Se 12th St Ft Lauderdale FL 33316-1937 |
| Practice Telephone | 9545242217 |
| Mailing Telephone | 9545242217 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | DEBBY GOTTLIEB (PRESIDENT) |
| Authorized Official Telephone | 9543285429 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW10552 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SW10552 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680160 | Myself Discovery, LLC | Social Worker | 816 Sw 14th Ave, Ft Lauderdale, FL 33312-2464 | 2019-06-29 |
| Street Address |
400 SE 12TH ST |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1255865804 | Meredith Futernick | Counselor | 400 Ne 15th Ave, Apt 3, Ft Lauderdale, FL 33301-1396 | 2017-04-19 |
| 1205383460 | Paola Pawlicki | Counselor | 4031 Ne 28th Ave, Ft Lauderdale, FL 33308-5730 | 2016-09-06 |
| 1053866798 | Candace Hamilton | Counselor | 2536 Sugarloaf Ln, Ft Lauderdale, FL 33312-4634 | 2016-08-23 |
| 1952790404 | Barbara Alexis Castorri | Counselor | 5728 Ne 15th Ave, Ft Lauderdale, FL 33334-5921 | 2015-01-21 |
| 1720322746 | Lisa Renae Cohen | Counselor | 2709 E Commercial Blvd, Ft Lauderdale, FL 33308-4112 | 2012-11-15 |
| 1518277557 | Michelle Christine Florio | Counselor | 1000 Sw 2nd Ct, Ft Lauderdale, FL 33312-7134 | 2010-10-08 |
| 1417273673 | Jessica Hughes-fillette | Counselor | 221 Se 12th Ave, Ft Lauderdale, FL 33301-3648 | 2010-04-13 |
| 1417144148 | Hillary Beth Kaye | Counselor | 2900 W Prospect Road, Ft Lauderdale, FL 33309 | 2007-09-26 |
| 1801007505 | Susan Kathleen Huart | Counselor | 4791 Ne 2nd Ter, Ft Lauderdale, FL 33334-6029 | 2007-05-24 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MYSELF DISCOVERY, 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.