Miss Der'resha Kayla Bastien, LMHC | |
7031 Taft St, Hollywood, FL 33024-3864 | |
(305) 917-3256 | |
Not Available |
Full Name | Miss Der'resha Kayla Bastien |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7031 Taft St, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942962543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MH23224 (Florida) | Primary |
Entity Name | Managed Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033716055 PECOS PAC ID: 6800272394 Enrollment ID: O20230209002372 |
Mailing Address | Practice Location Address |
---|---|
Miss Der'resha Kayla Bastien, LMHC 3340 Nw 178th St, Miami Gardens, FL 33056-3480 Ph: (305) 917-3256 | Miss Der'resha Kayla Bastien, LMHC 7031 Taft St, Hollywood, FL 33024-3864 Ph: (305) 917-3256 |
Gregory Reid Adelstein, PSY.D, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Sheridan St Ste 400, Hollywood, FL 33021 Phone: 754-216-9883 Fax: 954-281-4525 | |
Nathalie Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7031 Taft St, Hollywood, FL 33024 Phone: 954-825-6011 | |
Marise Jimenez, MS, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 4124 Long Leaf Ln, Hollywood, FL 33021 Phone: 305-834-9031 | |
Felciai Shanna-kaye Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7031 Taft St, Hollywood, FL 33024 Phone: 954-210-0320 | |
Klifton Fehr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2781 Taft St Apt 410, Hollywood, FL 33020 Phone: 754-304-9074 | |
Ashleigh Repko, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Johnson St, Hollywood, FL 33021 Phone: 954-399-9048 | |
Deborah Blum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1918 Harrison St Ste 203, Hollywood, FL 33020 Phone: 305-900-7146 |