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1951 Nw 7th Ave Fl 3 Miami FL 33136-1112 | |
| (305) 902-6347 | |
| (727) 306-8033 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1951 Nw 7th Ave Fl 3, Miami, Florida |
| Authorized Official Name and Position | Anna Lindow (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3059026347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1951 Nw 7th Ave Fl 3 Miami FL 33136-1104 Ph: (305) 902-6347 | 1951 Nw 7th Ave Fl 3 Miami FL 33136-1112 Ph: (305) 902-6347 |
| NPI Number | 1225669161 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 9537586052 |
|---|---|
| Medicare Enrollment ID | O20200828002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225669161 | NPI | - | NPPES |
| Provider Name | Kimberly Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528481777 PECOS PAC ID: 0143633107 Enrollment ID: I20210112000978 |
| Provider Name | Sherri Lee Newkirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356328702 PECOS PAC ID: 4486051547 Enrollment ID: I20210916002203 |
| Provider Name | Erica Michelle Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801170402 PECOS PAC ID: 4385860048 Enrollment ID: I20211201003175 |
| Provider Name | Jacqueline Denise Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407593254 PECOS PAC ID: 3173975018 Enrollment ID: I20240117000551 |
| Provider Name | Anthea M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235575937 PECOS PAC ID: 8628414927 Enrollment ID: I20240308002274 |
| Provider Name | Alece Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215319421 PECOS PAC ID: 1759715709 Enrollment ID: I20240619000306 |
| Provider Name | Desiree Onwuegbu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912534504 PECOS PAC ID: 8820533474 Enrollment ID: I20240708004221 |
| Provider Name | Candace Bynum-omodunni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528495330 PECOS PAC ID: 9537604194 Enrollment ID: I20240709000263 |
| Provider Name | Michelle Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386157170 PECOS PAC ID: 2961947247 Enrollment ID: I20240710004724 |
| Provider Name | Adeola Adefowoju Gbenro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669966024 PECOS PAC ID: 5496290660 Enrollment ID: I20240711003034 |
| Provider Name | Alexia Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770244923 PECOS PAC ID: 5698210839 Enrollment ID: I20240712000668 |
| Provider Name | Kaitlyn Victoria Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205575131 PECOS PAC ID: 2567908858 Enrollment ID: I20240723002105 |
| Provider Name | Cecelia Marie Mack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114104478 PECOS PAC ID: 3678010881 Enrollment ID: I20240806002661 |
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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 | |
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