Alere Emotional Health Llc | |
1016 Clare Ave Ste 5 West Palm Beach FL 33401-6219 | |
(561) 703-2660 | |
Not Available |
Full Name | Alere Emotional Health Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 1016 Clare Ave Ste 5, West Palm Beach, Florida |
Authorized Official Name and Position | Anthony Eric Gonzalez (OWNER) |
Authorized Official Contact | 5617032660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alere Emotional Health Llc 111 Se 1st Ave Apt 410 Delray Beach FL 33444-3796 Ph: (561) 703-2660 | Alere Emotional Health Llc 1016 Clare Ave Ste 5 West Palm Beach FL 33401-6219 Ph: (561) 703-2660 |
NPI Number | 1396366324 |
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Provider Enumeration Date | 04/30/2020 |
Last Update Date | 04/30/2020 |
Certification Date | 04/30/2020 |
Medicare PECOS PAC ID | 4284055930 |
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Medicare Enrollment ID | O20200604000673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396366324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Anthony Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356604243 PECOS PAC ID: 3375791213 Enrollment ID: I20120927000105 |
Provider Name | Ashley Walker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023584265 PECOS PAC ID: 3577938687 Enrollment ID: I20230403001971 |
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