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

Shake It Up Foundation LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1457983777

Shake It Up Foundation LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Plantation, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6919 W Broward Blvd Ste 151
Plantation, FL 33317-2902
Phone: (954) 283-0747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1457983777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystal Farnum — Chief Executive Officer · (570) 540-3465
Other names Krystal Farnum; Krystal Farnum
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address6919 W Broward Blvd Ste 151, Plantation, FL 33317-2902

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