Basic Information
Provider Information
NPI: 1124404371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWEIGER
FirstName: FAITH
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4740 N STATE ROAD 7
Address2: SUIT 201
City: LAUDERDALE LAKES
State: FL
PostalCode: 333195839
CountryCode: US
TelephoneNumber: 9544864005
FaxNumber: 9544973857
Practice Location
Address1: 4720 N STATE ROAD 7 BLDG B
Address2:  
City: LAUDERDALE LAKES
State: FL
PostalCode: 333195860
CountryCode: US
TelephoneNumber: 9544630911
FaxNumber: 9544973857
Other Information
ProviderEnumerationDate: 08/10/2015
LastUpdateDate: 08/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XMH4076FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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