| Elleorhim Mental Wellbeing Llc | |
|
6115 Stirling Rd Ste 215 Davie FL 33314-7240 | |
| (178) 622-3174 | |
| (786) 930-4046 |
| Full Name | Elleorhim Mental Wellbeing Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6115 Stirling Rd Ste 215, Davie, Florida |
| Authorized Official Name and Position | Marie Carline Oseh (PMHNP) |
| Authorized Official Contact | 7862231744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elleorhim Mental Wellbeing Llc 20523 Nw 8th Ave Miami Gardens FL 33169-2381 Ph: (786) 223-1744 | Elleorhim Mental Wellbeing Llc 6115 Stirling Rd Ste 215 Davie FL 33314-7240 Ph: (178) 622-3174 |
| NPI Number | 1013670025 |
|---|---|
| Provider Enumeration Date | 10/17/2021 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 8527458637 |
|---|---|
| Medicare Enrollment ID | O20211203002328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013670025 | NPI | - | NPPES |
| 1417406026 | Medicaid | FL | |
| 1417406026 | Other | FL | 1417406026 |
| Provider Name | Marie C Oseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406026 PECOS PAC ID: 9133467954 Enrollment ID: I20190220001735 |
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