Provider Demographics
NPI:1366067076
Name:ASSOCIATES IN CORPORATE PSYCHOTHERAPY
Entity type:Organization
Organization Name:ASSOCIATES IN CORPORATE PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LMHC/LPC
Authorized Official - Phone:877-759-0919
Mailing Address - Street 1:18117 BISCAYNE BLVD STE 2052
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2535
Mailing Address - Country:US
Mailing Address - Phone:877-759-0919
Mailing Address - Fax:
Practice Address - Street 1:1000 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7479
Practice Address - Country:US
Practice Address - Phone:877-759-0919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREER COLABS. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-09
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health