| Abcs For Success, Llc | |
|
1550 Madruga Ave Ste 509 Coral Gables FL 33146-3048 | |
| (786) 536-9714 | |
| (786) 536-9833 |
| Full Name | Abcs For Success, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1550 Madruga Ave Ste 509, Coral Gables, Florida |
| Authorized Official Name and Position | Soraya Melegi (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7865369714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abcs For Success, Llc 1550 Madruga Ave Ste 509 Coral Gables FL 33146-3048 Ph: (786) 536-9714 | Abcs For Success, Llc 1550 Madruga Ave Ste 509 Coral Gables FL 33146-3048 Ph: (786) 536-9714 |
| NPI Number | 1043537160 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Medicare PECOS PAC ID | 3173648581 |
|---|---|
| Medicare Enrollment ID | O20100908000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043537160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 7519 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
| Provider Name | Soraya F Melegi-diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730313859 PECOS PAC ID: 0244355659 Enrollment ID: I20100918000269 |
| Provider Name | Josie C Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639155567 PECOS PAC ID: 4688852429 Enrollment ID: I20110627000799 |
| Provider Name | Brian Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861843906 PECOS PAC ID: 2769812833 Enrollment ID: I20200414002044 |
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