OrganizationActive
Sovereign Business Management, Inc.
NPI 1033498613 · Adolescent and Children Mental Health Clinic/Center · Lauderdale Lakes, FL
Provider details
- NPI number
- 1033498613
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Howard, President(305) 308-9932
- License
- 1005984 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2331 N State Road 7
Suite 124
Lauderdale Lakes, FL 33313-3748
Phone: (305) 308-9932
Street-level locationGet directions
Mailing address
5010 Sw 19th St
West Park, FL 33023-3271
Other names (DBA / former)
- Doing business as
- Positive Imprints
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2013-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.