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

Nova Southeastern University, Inc

Organization Mental Health Counselor · NPI 1083342109

Nova Southeastern University, Inc is a Mental Health Counselor in Davie, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
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

3151 College Avenue Maxwell Maltz Bldg 1ST Fl
Davie, FL 33314
Phone: (954) 262-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Counseling Psychologist Taxonomy 103TC1900X
Family Psychologist Taxonomy 103TF0000X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1083342109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakeitha Baker — Credentialing Supervisor · (954) 262-9416
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing addressPo Box 290370, Davie, FL 33329-0370

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