| Comprehensive Counseling And Wellness Center Llc | |
|
10201 Hammocks Blvd Ste 123 Miami FL 33196-3783 | |
| (786) 577-3427 | |
| (305) 402-3728 |
| Full Name | Comprehensive Counseling And Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10201 Hammocks Blvd Ste 123, Miami, Florida |
| Authorized Official Name and Position | Yusley Perez (CEO) |
| Authorized Official Contact | 3058770806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Counseling And Wellness Center Llc 10201 Hammocks Blvd Ste 123 Miami FL 33196-3783 Ph: (786) 577-3427 | Comprehensive Counseling And Wellness Center Llc 10201 Hammocks Blvd Ste 123 Miami FL 33196-3783 Ph: (786) 577-3427 |
| NPI Number | 1275062135 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 8022426071 |
|---|---|
| Medicare Enrollment ID | O20210413000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275062135 | NPI | - | NPPES |
| 107858100 | Medicaid | FL |
| Provider Name | Dhaima Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407392111 PECOS PAC ID: 7113201708 Enrollment ID: I20170227001698 |
| Provider Name | Melida Berroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275165367 PECOS PAC ID: 9638591993 Enrollment ID: I20200616000767 |
| Provider Name | Margarita Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770340846 PECOS PAC ID: 9739529991 Enrollment ID: I20240504000266 |
| Provider Name | Maria M Eslait |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780992594 PECOS PAC ID: 5890237390 Enrollment ID: I20240612002116 |
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