| Comprehensive Psychological Services Of The Palm Beaches, Llc | |
|
9121 N Military Trl Ste 207 Palm Beach Gardens FL 33410-5988 | |
| (561) 935-8905 | |
| Not Available |
| Full Name | Comprehensive Psychological Services Of The Palm Beaches, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9121 N Military Trl Ste 207, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Jessica E Moe (SOLE MEMBER) |
| Authorized Official Contact | 5619358905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services Of The Palm Beaches, Llc 9121 N Military Trl Ste 207 Palm Beach Gardens FL 33410-5988 Ph: (561) 935-8905 | Comprehensive Psychological Services Of The Palm Beaches, Llc 9121 N Military Trl Ste 207 Palm Beach Gardens FL 33410-5988 Ph: (561) 935-8905 |
| NPI Number | 1841703592 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Medicare PECOS PAC ID | 3577814961 |
|---|---|
| Medicare Enrollment ID | O20180925000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841703592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY9142 (Florida) | Primary |
| Provider Name | Jessica E. Moe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831573609 PECOS PAC ID: 1456602846 Enrollment ID: I20180925000396 |
| Provider Name | Lauren Lindsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801544846 PECOS PAC ID: 4082065438 Enrollment ID: I20240110000878 |
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