Berlyne Tiara Harris, MS | |
933 45th St, Mangonia Park, FL 33407-2413 | |
(561) 841-1024 | |
Not Available |
Full Name | Berlyne Tiara Harris |
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Gender | Female |
Speciality | Counselor |
Location | 933 45th St, Mangonia Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881281590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MH22762 (Florida) | Primary |
Entity Name | Msw Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730718651 PECOS PAC ID: 8426488313 Enrollment ID: O20200416001373 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Berlyne Tiara Harris, MS 7264 W Oakland Park Blvd, Lauderhill, FL 33313-1041 Ph: (954) 703-1165 | Berlyne Tiara Harris, MS 933 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 841-1024 |
Ms. Youlanda Thompson, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 Fax: 561-845-0316 | |
Heidi Escalona Morgia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 | |
Suzanne Sherwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1000 Fax: 561-841-1151 | |
Mrs. Coretta Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1772 Lindley St, Mangonia Park, FL 33407 Phone: 561-906-8519 | |
Ms. Christine Marie Vanbasten, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1058 | |
Mr. Charles Smith, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1000 | |
Jeffrey Fletcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 |