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

Provide 4 Inc

Organization Community/Behavioral Health Agency · NPI 1457630972

Provide 4 Inc is a Community/Behavioral Health Agency in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

3000 NE 30th Pl Ste 408
Fort Lauderdale, FL 33306-1928
Phone: (954) 800-0108
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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 · Licence SW 9879 (FL)

Record details

NPI number1457630972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kacee Tannenbaum — President · (954) 800-0108
NPI enumeratedAugust 15, 2011
Last updated in NPPESJanuary 20, 2012
Mailing address3000 Ne 30th Pl, Suite 408, Fort Lauderdale, FL 33306-1928

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