| Cp Consultancy & Wraparound Services Llc | |
|
12958 Sw 133rd Ct Ste A2 Miami FL 33186-6169 | |
| (786) 505-6441 | |
| (786) 610-4977 |
| Full Name | Cp Consultancy & Wraparound Services Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12958 Sw 133rd Ct Ste A2, Miami, Florida |
| Authorized Official Name and Position | Carlos Pildain (MANAGER) |
| Authorized Official Contact | 7862879332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cp Consultancy & Wraparound Services Llc 14123 Sw 177th St Miami FL 33177-7765 Ph: (786) 505-6441 | Cp Consultancy & Wraparound Services Llc 12958 Sw 133rd Ct Ste A2 Miami FL 33186-6169 Ph: (786) 505-6441 |
| NPI Number | 1356117857 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 4082064795 |
|---|---|
| Medicare Enrollment ID | O20231221000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356117857 | NPI | - | NPPES |
| 1649503822 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Carlos Pildain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649503822 PECOS PAC ID: 9032569751 Enrollment ID: I20231221000836 |
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