NATHALIA BETANCOURT-KOLOSICK


Address: 1975 E Sunrise Blvd Ste 517, Fort Lauderdale, FL 33304
Phone: 9549450288

NATHALIA BETANCOURT-KOLOSICK (NPI# 1265866800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265866800
Entity Type Individual
Full Name NATHALIA BETANCOURT-KOLOSICK
Other Name NATHALIA BETANCOURT
Credential M.A., PSY.D, LMHC
Practice Address 1975 E Sunrise Blvd Ste 517
Fort Lauderdale
FL 33304
Mailing Address 2724 Ne 15th St Apt 1
Fort Lauderdale
FL 33304-1653
Practice Telephone 9549450288
Enumeration Date 2013-08-31
Last Update Date 2018-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
16155 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
20 N San Pedro Rd, San Rafael, CA 949034188 4154736769

Office Location

Street Address 1975 E SUNRISE BLVD STE 517
City FORT LAUDERDALE
State FL
Zip Code 33304

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1790283000 Genoa Healthcare, LLC Pharmacy 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 2018-02-01
1063939890 Suibel Boeras Dentist 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 2017-08-23
1871023671 Zahily Quinones Rivero Technician, Other 916 N Victoria Park Road, Fort Lauderdale, FL 33304 2017-06-14
1033652847 A Healthier You Wellness Center, Inc. Reflexologist 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 2016-11-28
1871975995 Sahyma Pampin Physician Assistant 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 2015-06-25
1881090660 Tara Zuckerman Psychologist 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 2014-11-06
1053721027 Felice D. Fusca Social Worker 1208 Ne 17 Av, Fort Lauderdale, FL 33304 2014-04-30
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1871192203 Kamari L Pasley Counselor 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 2020-10-17
1134746829 Chinyere Tunsill Counselor 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 2020-06-29
1750906848 Darcy Holm Counselor 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 2020-06-15
1356977078 Herz Counseling Group, LLC Counselor 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 2020-03-13
1558997346 Paulina Scaturro Counselor 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 2020-03-12
1144855925 Victoria Baca Counselor 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 2020-03-11
1184254476 Shaira A. Shah Counselor 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 2020-01-25
1194364893 Jennifer Tiech Counselor 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 2019-12-27
1205475167 Tara Yombor Counselor 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 2019-12-24
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Competitor

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City FORT LAUDERDALE
Zip Code 33304

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Dataset Information

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.

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