| Organization Name: | THE PSYCH TEAM, INC. |
| NPI Number: | 1275771941 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY SAMUEL WOOLFSTEAD (PRESIDENT) |
| Mailing Address: | 10000 Stirling Road Suite 6 Cooper City |
| State: | FL US |
| Postal Code: | 33024 |
| Phone Number: | 9544368326 |
| Fax Number: | 9544330603 |
| NPI Enumeration Date: | 02/03/2009 |
| NPI Last Update Date: | 12/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 0954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |