| Blue Sky Mental Health Corp | |
|
2100 W 76th St Ste 406 Hialeah FL 33016-5504 | |
| (786) 690-1884 | |
| (786) 933-9801 |
| Full Name | Blue Sky Mental Health Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2100 W 76th St Ste 406, Hialeah, Florida |
| Authorized Official Name and Position | Karen Mesa (PRESIDENT) |
| Authorized Official Contact | 7866901884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Mental Health Corp 2100 W 76th St Ste 406 Hialeah FL 33016-5504 Ph: (786) 690-1884 | Blue Sky Mental Health Corp 2100 W 76th St Ste 406 Hialeah FL 33016-5504 Ph: (786) 690-1884 |
| NPI Number | 1841876109 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 0547656886 |
|---|---|
| Medicare Enrollment ID | O20220413001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841876109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Victor Astacio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710329636 PECOS PAC ID: 5294120663 Enrollment ID: I20220328000123 |
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