institution
Timothy O'connor, L.c.s.w., P.a.
Adult Mental Health Clinic/Center in Fort Lauderdale, Florida
NPI 1821436130

Timothy O'connor, L.c.s.w., P.a. is an Adult Mental Health Clinic/Center based in Fort Lauderdale, FL and is specialized in Adult Mental Health. Timothy O'connor, L.c.s.w., P.a. practices in Fort Lauderdale, FL. The NPI Number for Timothy O'connor, L.c.s.w., P.a. is 1821436130 and holds a License No. SW5622 (Florida).

The current practice location address for Timothy O'connor, L.c.s.w., P.a. is 1919 Ne 45Th St Ste 122, Fort Lauderdale, FL and can be reached out via phone at 954-776-7176 and via fax at 954-776-7160. You can also correspond with Timothy O'connor, L.c.s.w., P.a. through the mailing address at 1919 NE 45TH ST STE 122, FORT LAUDERDALE, FL - 33308-5135 (mailing address contact number: 954-776-7176).

Location: 1919 Ne 45Th St Ste 122, Fort Lauderdale, FL, 33308-5135
institution
Provider Profile Details
NPI Number
1821436130
Provider Name
Timothy O'connor, L.c.s.w., P.a.
Credential
Provider Entity Type
Organization
Address
1919 Ne 45Th St Ste 122, Fort Lauderdale, FL, 33308-5135
Phone Number
954-776-7176
Fax Number
954-776-7160
Provider Enumeration Date
06/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7638663 05 FL
institution
Provider Business Practice Location Address Details
Address
1919 Ne 45Th St Ste 122
City
State
Zip
33308-5135
Phone Number
954-776-7176
Fax Number
954-776-7160
person
Provider Business Mailing Address Details
Address
1919 Ne 45Th St Ste 122
City
State
Zip
33308-5135
Phone Number
954-776-7176
Fax Number
954-776-7160
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
SW5622 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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