| Comprehensive Wellness Centers Llc | |
|
660 S Dixie Hwy Lantana FL 33462-4607 | |
| (561) 619-5858 | |
| Not Available |
| Full Name | Comprehensive Wellness Centers Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 660 S Dixie Hwy, Lantana, Florida |
| Authorized Official Name and Position | Jason Tunick (CEO) |
| Authorized Official Contact | 5616195858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Wellness Centers Llc 720 S Dixie Hwy Ste 2 Lantana FL 33462-4652 Ph: (561) 619-5858 | Comprehensive Wellness Centers Llc 660 S Dixie Hwy Lantana FL 33462-4607 Ph: (561) 619-5858 |
| NPI Number | 1598138877 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 7517348766 |
|---|---|
| Medicare Enrollment ID | O20220719001529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598138877 | NPI | - | NPPES |
| 118858700 | Medicaid | FL |
| Provider Name | Beverly A Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386833341 PECOS PAC ID: 0042489262 Enrollment ID: I20110804000444 |
| Provider Name | Pierre E Pean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710013990 PECOS PAC ID: 9931367596 Enrollment ID: I20120228000693 |
| Provider Name | Joseph Frank Lalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922380914 PECOS PAC ID: 7416380936 Enrollment ID: I20230313002629 |
| Provider Name | Aisha Stachelle De Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174218440 PECOS PAC ID: 9133584055 Enrollment ID: I20230428000897 |
| Provider Name | Rasha Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346441482 PECOS PAC ID: 2062877814 Enrollment ID: I20230429000082 |
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