Provider Demographics
NPI:1366905291
Name:SIRLIN, STEVEN GUY (CAP)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GUY
Last Name:SIRLIN
Suffix:
Gender:M
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 N 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4210
Mailing Address - Country:US
Mailing Address - Phone:305-527-5100
Mailing Address - Fax:
Practice Address - Street 1:13899 BISCAYNE BLVD STE 223
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1647
Practice Address - Country:US
Practice Address - Phone:305-244-0971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)