Michael Bettencourt Lcsw Llc
LBN: Michael Bettencourt Lcsw Llc
Michael Bettencourt Lcsw Llc is an health care organization with primary practice located at 2805 E Oakland Park Blvd # 174 , Fort Lauderdale FL 33306-1813. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Michael Bettencourt Lcsw Llc can be contacted via phone (617) 869-6182, or through Bettencourt, Michael via phone (617) 869-6182.
Contact Information
Primary practice address
2805 E Oakland Park Blvd # 174
Fort Lauderdale FL 33306-1813
Phone: (617) 869-6182
Fax:
Website:
Authorized official contact:
Name: Bettencourt, Michael Licensed Clinical Social Worker (LCSW)
Phone: (617) 869-6182
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111335 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13063 | Florida |
Profile Details
| NPI number | 1891998720 |
|---|---|
| LBN Legal business name | Michael Bettencourt Lcsw Llc |
| DBA Doing business as | |
| Authorized official | Bettencourt, Michael Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Mar 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891998720 | NPPES |
| Massachusetts | MEDICAID | 1852612 | |
| Massachusetts | Other | 461417 | |
| Massachusetts | Other | P08075 |
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