Advanced Psychological Group Inc | |
6262 Bird Rd Ste 2f Miami FL 33155-4882 | |
(305) 387-7850 | |
Not Available |
Full Name | Advanced Psychological Group Inc |
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Speciality | Psychologist |
Location | 6262 Bird Rd Ste 2f, Miami, Florida |
Authorized Official Name and Position | Mercedes Llenin (CLINICAL DIRECTOR) |
Authorized Official Contact | 3053877850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Psychological Group Inc 6262 Bird Rd Ste 2f Miami FL 33155-4882 Ph: (305) 387-7850 | Advanced Psychological Group Inc 6262 Bird Rd Ste 2f Miami FL 33155-4882 Ph: (305) 387-7850 |
NPI Number | 1043266331 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 08/09/2022 |
Certification Date | 09/24/2021 |
Medicare PECOS PAC ID | 9032128129 |
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Medicare Enrollment ID | O20060418000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043266331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY6075 (Florida) | Primary |
Provider Name | Mercedes Llenin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932125390 PECOS PAC ID: 9032128137 Enrollment ID: I20060426000100 |
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