Edify Counseling Group Llc
LBN: Edify Counseling Group Llc
Edify Counseling Group Llc is an health care organization with primary practice located at 1451 W Cypress Creek Rd , Fort Lauderdale FL 33309-1961. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Edify Counseling Group Llc can be contacted via phone (888) 773-3439, or through Prendergast, Jason-Anthony Kirkham via phone (888) 773-3439.
Contact Information
Primary practice address
1451 W Cypress Creek Rd
Fort Lauderdale FL 33309-1961
Phone: (888) 773-3439
Fax:
Website:
Authorized official contact:
Name: Prendergast, Jason-Anthony Kirkham PHD, MBA, BS.
Phone: (888) 773-3439
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17769 | Florida |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1922507730 |
|---|---|
| LBN Legal business name | Edify Counseling Group Llc |
| DBA Doing business as | |
| Authorized official | Prendergast, Jason-Anthony Kirkham PHD, MBA, BS. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2018 |
| Last updated | Sep 29th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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