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Shake It Up Foundation Llc
Adolescent and Children Mental Health Clinic/Center in Plantation, Florida
NPI 1457983777

Shake It Up Foundation Llc is an Adolescent and Children Mental Health Clinic/Center based in Plantation, FL and is specialized in Adolescent and Children Mental Health. Shake It Up Foundation Llc practices in Plantation, FL. The NPI Number for Shake It Up Foundation Llc is 1457983777 and holds a License No. (Florida).

The current practice location address for Shake It Up Foundation Llc is 6919 W Broward Blvd Ste 151, Plantation, FL and can be reached out via phone at 954-283-0747.

Location: 6919 W Broward Blvd Ste 151, Plantation, FL, 33317-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457983777
Provider Name
Shake It Up Foundation Llc
Credential
Provider Entity Type
Organization
Address
6919 W Broward Blvd Ste 151, Plantation, FL, 33317-2902
Phone Number
954-283-0747
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6919 W Broward Blvd Ste 151
City
Plantation
State
Florida
Zip
33317-2902
Phone Number
954-283-0747
Fax Number
person
Provider Business Mailing Address Details
Address
6919 W Broward Blvd Ste 151
City
Plantation
State
Florida
Zip
33317-2902
Phone Number
954-283-0747
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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