Doctor Name: | DARIUS POITIER |
NPI Number: | 1235475757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 6625 Ne 72nd Cir W Okeechobee, FL - 349728648 |
Business Phone Number: | 5612135721 |
Business Fax Number: | |
Mailing Address: | 6625 Ne 72nd Cir W, OKEECHOBEE |
State: | FL |
Postal Code: | 349728648 |
Phone Number: | 5612135721 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2013 |
NPI Last Update Date: | 01/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |