Carly Burgos, | |
4020 Lake Worth Rd, Palm Springs, FL 33461-3918 | |
(561) 444-3512 | |
Not Available |
Full Name | Carly Burgos |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4020 Lake Worth Rd, Palm Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881239598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH12702 (Florida) | Primary |
Entity Name | Brave Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
Mailing Address | Practice Location Address |
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Carly Burgos, 4020 Lake Worth Rd, Palm Springs, FL 33461-3918 Ph: (561) 444-3512 | Carly Burgos, 4020 Lake Worth Rd, Palm Springs, FL 33461-3918 Ph: (561) 444-3512 |
Ms. Dana Stockhausen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 S Congress Ave, Palm Springs, FL 33406 Phone: 561-408-9055 | |
Claudia M. Paez, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2112 S Congress Ave, Suite 104, Palm Springs, FL 33406 Phone: 561-653-6292 | |
Pamela C Figoras, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3199 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-649-6500 Fax: 954-497-3857 | |
Caridad Abreu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 Palo Alto Dr, Palm Springs, FL 33461 Phone: 561-452-1625 | |
Mr. Edgar Caminero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2112 S Congress Ave Ste 104, Palm Springs, FL 33406 Phone: 561-653-6292 | |
Cynthia Elizabeth Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4020 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-444-5512 | |
Craig Vincent Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4020 Lake Worth Rd, Palm Springs, FL 33461 Phone: 561-444-3512 |