Idisleidi Grille, LCSW is a
Counselor - Mental Health based in Hialeah, Florida. Idisleidi Grille is licensed to practice in * (Not Available) (license number ) and her current practice location is
4175 W 20th Ave, Hialeah, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 825-0300.
NPI number for Idisleidi Grille is 1710486527 and her current mailing address is 4175 W 20th Ave, Hialeah, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710486527.
Healthcare Provider's Profile
Full Name | Idisleidi Grille |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 4175 W 20th Ave, Hialeah, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710486527
- Provider Enumeration Date: 02/07/2018
- Last Update Date: 04/01/2022
Medical Identifiers
Medical identifiers for Idisleidi Grille such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710486527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW15076 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Idisleidi Grille is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Idisleidi Grille, LCSW 4175 W 20th Ave, Hialeah, FL 33012-5874 Ph: (305) 825-0300 | Idisleidi Grille, LCSW 4175 W 20th Ave, Hialeah, FL 33012-5874 Ph: (305) 825-0300 |
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