DYNAMIC OUTPATIENT THERAPEUTIC SERVICES, LLC
Mental Health at Wilton Dr, Fort Lauderdale, FL

License number
Florida MH 11511
Category
Mental Health
Type
Mental Health
Owner
Name: SHAYNA RAYMAN LMHC
Title: MANAGING MEMBER
Phone: (954) 745-7917
Address
Address
2312 Wilton Dr, Fort Lauderdale, FL 33305
National Provider ID: 1073989273
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DYNAMIC OUTPATIENT THERAPEUTIC SERVICES, LLC

Ft Lauderdale, FL

Doing business as:
Dynamic Outpatient Therapeutic
Registration:
Sep 7, 2010
Phone:
(954) 745-7917 (Phone)
Addresses:
2312 Wilton Dr, Ft Lauderdale, FL 33305 (Physical)
200 SE 6 St, Ft Lauderdale, FL 33301
State ID:
L10000093510
Business type:
Florida Limited Liability Company
Managing Member:
Shayna M Rayman (Managing Member), 2312 Wilton Dr, Ft Lauderdale, FL 33305 (Physical)
Agent:
Jeffrey Levy,200 SE 6 St, Ft Lauderdale, FL 33301 (Physical)
EIN:
27-3403488

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