Maryssa St Fort's National Provider Identifier (NPI) Details
Maryssa St Fort, LMHC
NPI: 1861900284
Enumeration Date: 2018-01-19
Last updated: 2022-03-25
Sole Proprietor: YES
Status: active
Postal Address: 7031 TAFT ST, HOLLYWOOD, FL
Phone: 954-918-9122
Primary Practice Address: 2400 SW 132ND TER, MIRAMAR, FL
Practice's phone: 954-918-9122