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CONTACT

The office is located at:
The Forum Building                                                   
600 S.W. 3rd Street, Suite 6121C
Pompano Beach, FL  33060

Office Hours
Monday                 4:00 pm – 8:30 pm     
Wednesday          1:00 pm – 6:00 pm
Thursday              1:00 pm – 8:30 pm
Friday                    2:00 pm – 8:30 pm
Saturday               10:00 am – 1:30 pm

 

 


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PAYMENT

Competitive rates make services affordable.

Cash, check and major credit cards accepted for payment. The full fee-for-service will be collected at the beginning of each session.


INSURANCE accepted:

--- ValueOptions Military Source
--- Value Options EAP

If you have a PPO or POS plan and can see out-of-network providers, I am happy to fill out the necessary insurance form to help you expedite reimbursement.

 

 

CONTACT ME OR MAKE
AN APPOINTMENT USING
THE FORM BELOW

To schedule an appointment or to obtain additional information about the services, please fill out the form below or e-mail me at mzrevelation@gmail.com. I will attempt to make every effort to meet your scheduling needs.

 

FIRST NAME:

LAST NAME:

PHONE NUMBER:


EMAIL ADDRESS:

PREFERRED TIME/DAY:


MESSAGE/COMMENTS:


 

Please download the forms below,
fill them all out and bring them to
your first appointment:

ELEVEN PAGE INTAKE FORM PACKAGE