Organization

Mitchell Roth

Mental Health Counselor in Boynton Beach, FL(View on Map)

Legal Business Name

Mitchell Roth

NPI Number

1699263327

NPI Type

Organization

Enumeration Date

04/27/2018

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

14604

Contact
Information

Purpose

Mailing
Location

Address

200 KNUTH RD STE 254
200 KNUTH RD STE 254

City

Boynton Beach
Boynton Beach

State

FL
FL

Postal Code

33436-4637
33436-4637

Country

US
US

Telephone Number

(561) 740-5642
(561) 740-5642

Authorized Official

Name

Mitchell Roth

Title or Position

LMHC/OWNER

Telephone Number

(561) 740-5642

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/27/2018

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