| Dade Comprehensive Support Inc | |
|
15255 Nw 87th Pl Miami Lakes FL 33018-1360 | |
| (786) 205-6161 | |
| Not Available |
| Full Name | Dade Comprehensive Support Inc |
|---|---|
| Speciality | Counselor |
| Location | 15255 Nw 87th Pl, Miami Lakes, Florida |
| Authorized Official Name and Position | Olga Montpellier (OWNER) |
| Authorized Official Contact | 7862056161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dade Comprehensive Support Inc 15255 Nw 87th Pl Miami Lakes FL 33018-1360 Ph: (786) 205-6161 | Dade Comprehensive Support Inc 15255 Nw 87th Pl Miami Lakes FL 33018-1360 Ph: (786) 205-6161 |
| NPI Number | 1912684804 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/01/2023 |
| Medicare PECOS PAC ID | 4880031566 |
|---|---|
| Medicare Enrollment ID | O20240318003286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912684804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Olga Montpellier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710158555 PECOS PAC ID: 2062859648 Enrollment ID: I20240318003788 |
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