| Advance Balance Alliance Llc | |
|
6044 Nw Wolverine Road Port St Lucie FL 34986 | |
| (772) 607-1008 | |
| Not Available |
| Full Name | Advance Balance Alliance Llc |
|---|---|
| Speciality | Counselor |
| Location | 6044 Nw Wolverine Road, Port St Lucie, Florida |
| Authorized Official Name and Position | Yilian J Montes De Oca (DIRECTOR) |
| Authorized Official Contact | 7726071008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Balance Alliance Llc 1729 Nw Saint Lucie West Blvd # 1275 Port St Lucie FL 34986-2501 Ph: (772) 607-1008 | Advance Balance Alliance Llc 6044 Nw Wolverine Road Port St Lucie FL 34986 Ph: (772) 607-1008 |
| NPI Number | 1851141022 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 9739527151 |
|---|---|
| Medicare Enrollment ID | O20240404001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851141022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Yilian Julia Montes De Oca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891977518 PECOS PAC ID: 0648618066 Enrollment ID: I20240404002124 |
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