E And D Gervais Llc

LBN: Breakthrough Care And Resource Center, Inc.
E And D Gervais Llc is an health care organization with primary practice located at 7971 Riviera Blvd Ste 316 , Miramar FL 33023-6448. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Managed Care Organizations / Point of Service. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Breakthrough Care And Resource Center, Inc. can be contacted via phone (305) 570-4064, or through Gervais, Delphine via phone (305) 494-2798.

Contact Information

Primary practice address
7971 Riviera Blvd Ste 316 Miramar FL 33023-6448
Phone: (305) 570-4064
Fax: (888) 284-6382
Website:
Map and Directions
Authorized official contact:
Name: Gervais, Delphine Licensed Clinical Social Worker (LCSW)
Phone: (305) 494-2798

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Managed Care Organizations / Point of Service 305S00000X SW 11931 Florida

Profile Details

NPI number 1285177055
LBN Legal business name Breakthrough Care And Resource Center, Inc.
DBA Doing business as E And D Gervais Llc
Authorized official Gervais, Delphine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2016
Last updated Dec 27th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285177055 NPPES
Florida MEDICAID 014020500

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