CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1295894301

CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC is a healthcare provider. based in Coconut creek, Florida. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC is 1295894301

Main info

Organization
Name
CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC
NPI
1295894301
Phone
(954) 345-5525
Address
4855 W HILLSBORO BLVD
Authorized Official
MS. MICHELE LINDA LANESE PRESIDENT CENTER FOR IDENTITY DEVEL LCSW
Enumeration Date
6 December 2006
Last Update Date
29 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC

  • West Hillsboro Boulevard, West Dixie Bend, Coconut Creek, Broward County, Florida, 33441, United States

    SUITE B1

    COCONUT CREEK, FL 330734356

    Phone: (954) 345-5525

    Fax: (954) 977-4978

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33073)

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Reviews

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Frequently asked questions

Where can patients find CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC's NPI?
You can confirm CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC with NPI 1295894301; it appears in the national provider directory.
Is CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC currently active in the NPI registry?
CMS-published data lists CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC as an active registrant.
Can you summarize CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC's specialty in plain language?
Clinically, the directory lists CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where is CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC's primary listing?
We display Coconut Creek, Florida because that is what the record indicates for CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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