ELICIA K LOWITZ, PA
Mental Health at Orange Dr, Fort Lauderdale, FL

License number
Florida MH003315
Category
Mental Health
Type
Mental Health
Owner
Name: ELICIA LOWITZ LMHC
Title: OWNER / THERAPIST
Phone: (954) 862-1427
Address
Address
12555 Orange Dr SUITE 265, Fort Lauderdale, FL 33330
National Provider ID: 1578009510
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELICIA K. LOWITZ, PA

Fort Lauderdale, FL

Registration:
Mar 4, 2013
Addresses:
7491 W Oakland Park Blvd SUITE 308, Fort Lauderdale, FL 33319 (Physical)
3868 Oak Rdg Cir, Fort Lauderdale, FL 33331 (Mailing)
State ID:
P13000020143
Business type:
Florida Profit Corporation
Vice Presidents:
Elicia K Lowitz (President), 3868 Oak Rdg Cir, Fort Lauderdale, FL 33331 (Physical),David M Lowitz (Vice President), 3868 Oak Rdg Cir, Fort Lauderdale, FL 33331 (Physical)
Agent:
Elicia Lowitz,3868 Oak Rdg Cir, Fort Lauderdale, FL 33331 (Physical)
EIN:
APPLIED FOR

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