Boca Behavioral Health | |
399 W Palmetto Park Rd Ste 106 Boca Raton FL 33432-3760 | |
(561) 961-9077 | |
Not Available |
Full Name | Boca Behavioral Health |
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Speciality | Counselor |
Location | 399 W Palmetto Park Rd Ste 106, Boca Raton, Florida |
Authorized Official Name and Position | Anastasia Leondis (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 5619619077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boca Behavioral Health 800 Sw 16th St Boca Raton FL 33486-6956 Ph: () - | Boca Behavioral Health 399 W Palmetto Park Rd Ste 106 Boca Raton FL 33432-3760 Ph: (561) 961-9077 |
NPI Number | 1750980975 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 04/19/2021 |
Certification Date | 04/19/2021 |
Medicare PECOS PAC ID | 4789085101 |
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Medicare Enrollment ID | O20240111004531 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750980975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Allison Garner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588100937 PECOS PAC ID: 6608227806 Enrollment ID: I20240112000444 |
Provider Name | Dana Sarkela |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477021707 PECOS PAC ID: 1557712676 Enrollment ID: I20240112001349 |
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