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150 E Palmetto Park Rd Boca Raton FL 33432-4827 | |
| (561) 779-0748 | |
| (754) 227-7804 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 150 E Palmetto Park Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Cedric Bell (OWNER) |
| Authorized Official Contact | 5617790748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2371 Sw 15th St Apt 99 Deerfield Beach FL 33442-7540 Ph: (561) 779-0748 | 150 E Palmetto Park Rd Boca Raton FL 33432-4827 Ph: (561) 779-0748 |
| NPI Number | 1245788181 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 08/17/2024 |
| Certification Date | 08/17/2024 |
| Medicare PECOS PAC ID | 4587105101 |
|---|---|
| Medicare Enrollment ID | O20240924000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245788181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rose Mary Mhc Lagravere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831314483 PECOS PAC ID: 4981148921 Enrollment ID: I20240701002381 |
| Provider Name | Marlea Marie Major |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184087165 PECOS PAC ID: 5193269918 Enrollment ID: I20240703000645 |
| Provider Name | Nicole Albanese |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932575685 PECOS PAC ID: 3173956471 Enrollment ID: I20240924000858 |
| Provider Name | Alexandra B Altman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740501279 PECOS PAC ID: 6103352752 Enrollment ID: I20241206000796 |
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