Polk, George Reginald

Polk, George Reginald is an individual health care provider with primary practice located at 3095 N Course Dr Apt 305 , Pompano Beach FL 33069-3370. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Polk, George Reginald can be contacted via phone (170) 357-7438.

Contact Information

Primary practice address
3095 N Course Dr Apt 305 Pompano Beach FL 33069-3370
Phone: (170) 357-7438
Fax: (954) 366-3539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH17414 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004680 Virginia

Profile Details

NPI number 1013244151
LBN Legal business name Polk, George Reginald
Credentials LPC; LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Nov 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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