| East Las Olas Psychological Group | |
|
108 Se 8th Ave Suite 203 Fort Lauderdale FL 33301-2023 | |
| (954) 768-0434 | |
| (954) 768-0285 |
| Full Name | East Las Olas Psychological Group |
|---|---|
| Speciality | Counselor |
| Location | 108 Se 8th Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Richard Del Prete (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9547680434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Las Olas Psychological Group 108 Se 8th Ave Suite 203 Fort Lauderdale FL 33301-2023 Ph: (954) 768-0434 | East Las Olas Psychological Group 108 Se 8th Ave Suite 203 Fort Lauderdale FL 33301-2023 Ph: (954) 768-0434 |
| NPI Number | 1073720835 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204855109 |
|---|---|
| Medicare Enrollment ID | O20240118001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073720835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 1856 (Florida) | Primary |
| Provider Name | Richard P. Del Prete |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326115544 PECOS PAC ID: 4789036484 Enrollment ID: I20240118001939 |
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