Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crockett Foundation Inc

Organization Community/Behavioral Health Agency · NPI 1184295123

Crockett Foundation Inc is a Community/Behavioral Health Agency in Fort Lauderdale, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 SW 1st Ave Ste 102
Fort Lauderdale, FL 33301-2853
Phone: (754) 666-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1184295123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regine Kanzki — Vice President Of Operations · (954) 822-9370
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address401 Sw 1st Ave Ste 102, Fort Lauderdale, FL 33301-2853

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