| Angel Blue Therapy Services, Llc | |
|
10300 Sunset Dr Ste 230 Miami FL 33173-3003 | |
| (786) 536-5710 | |
| (786) 409-7137 |
| Full Name | Angel Blue Therapy Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10300 Sunset Dr Ste 230, Miami, Florida |
| Authorized Official Name and Position | Alexandra Flores (OWNER) |
| Authorized Official Contact | 7866632822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Blue Therapy Services, Llc 10300 Sunset Dr Ste 230 Miami FL 33173-3003 Ph: (786) 536-5710 | Angel Blue Therapy Services, Llc 10300 Sunset Dr Ste 230 Miami FL 33173-3003 Ph: (786) 536-5710 |
| NPI Number | 1013527118 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 9638584329 |
|---|---|
| Medicare Enrollment ID | O20210210000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013527118 | NPI | - | NPPES |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Angela Maria Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235685181 PECOS PAC ID: 6002212255 Enrollment ID: I20210914000281 |
| Provider Name | Deborah Virgen Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407359946 PECOS PAC ID: 5991185506 Enrollment ID: I20220629000374 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |