| Creative Community Mental Health Inc | |
|
381 N Krome Ave Ste 206 Homestead FL 33030-6047 | |
| (786) 601-9202 | |
| (786) 668-6398 |
| Full Name | Creative Community Mental Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 381 N Krome Ave Ste 206, Homestead, Florida |
| Authorized Official Name and Position | Annette Figarola (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 3059924008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Community Mental Health Inc 381 N Krome Ave Ste 206 Homestead FL 33030-6047 Ph: (786) 601-9202 | Creative Community Mental Health Inc 381 N Krome Ave Ste 206 Homestead FL 33030-6047 Ph: (786) 601-9202 |
| NPI Number | 1023677432 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Medicare PECOS PAC ID | 1456772664 |
|---|---|
| Medicare Enrollment ID | O20200526001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023677432 | NPI | - | NPPES |
| 1023677432 | Medicaid | FL |
| Provider Name | Lazaro H Cordoves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821126079 PECOS PAC ID: 9133139009 Enrollment ID: I20060424000159 |
| Provider Name | Amanda Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831695105 PECOS PAC ID: 1557738432 Enrollment ID: I20221103002104 |
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