ALLEGIANCE CLINICAL COUNSELING LLC (NPI# 1174967681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174967681 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE CLINICAL COUNSELING LLC |
| Practice Address |
4835 Hollywood Blvd 2 Hollywood FL 33021-6548 |
| Practice Telephone | 9542512796 |
| Practice Fax Number | 7544009076 |
| Mailing Telephone | 9542512796 |
| Mailing Fax Number | 7544009076 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | VIVIAN MATHIS (OWNER) |
| Authorized Official Telephone | 9542512796 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4835 HOLLYWOOD BLVD 2 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255682266 | Vivian Mathis | Social Worker | 4835 Hollywood Blvd, Suite 2, Hollywood, FL 33021-6548 | 2012-10-01 |
| 1225651136 | Wellcare Clinical Services LLC | Radiology | 4835 Hollywood Blvd, Hollywood, FL 33021-6548 | 2020-05-26 |
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|---|---|---|---|---|
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| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1922309673 | Harmony Behavioral Center, Inc. | Clinic/Center | 6918 Stirling Rd, Hollywood, FL 33024-1840 | 2010-11-11 |
| 1891738191 | Sunny Days of Broward Cmhc, Inc. | Clinic/Center | 6011 Rodman St, Suite 104, Hollywood, FL 33023-1854 | 2006-06-14 |
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| 1912537994 | Stepping Stones Counseling and Wellness Center | Clinic/Center | 2500 Hollywood Blvd Ste 401, Hollywood, FL 33020-6615 | 2020-01-18 |
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| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
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| 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.