Charles, Richard

Charles, Richard is an individual health care provider with primary practice located at 10031 Pines Blvd Ste 248 , Pembroke Pines FL 33024-6180. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Charles, Richard can be contacted via phone (754) 229-5912.

Contact Information

Primary practice address
10031 Pines Blvd Ste 248 Pembroke Pines FL 33024-6180
Phone: (754) 229-5912
Fax: (413) 618-3929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2029 Florida

Profile Details

NPI number 1568553402
LBN Legal business name Charles, Richard
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568553402 NPPES
Florida MEDICAID 767474100

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