Mariana Perez, MS | |
425 N 1st St, Immokalee, FL 34142-3150 | |
(239) 455-8500 | |
Not Available |
Full Name | Mariana Perez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 425 N 1st St, Immokalee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326408881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH13975 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
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 |
---|---|
Mariana Perez, MS 425 N 1st St, Immokalee, FL 34142-3150 Ph: (239) 455-8500 | Mariana Perez, MS 425 N 1st St, Immokalee, FL 34142-3150 Ph: (239) 455-8500 |
Mrs. Laverne Beal Miller, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 N 1st St, Immokalee, FL 34142 Phone: 239-657-4434 Fax: 239-657-4331 | |
Molly Bowman Coates, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3199 | |
Mrs. Angelique Melendez-blanch, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3720 Fax: 239-596-1661 |