| Energy Community Mental Health Clinic Llc | |
|
4995 Nw 72nd Ave Ste 102 Miami FL 33166-5643 | |
| (786) 227-2966 | |
| Not Available |
| Full Name | Energy Community Mental Health Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4995 Nw 72nd Ave Ste 102, Miami, Florida |
| Authorized Official Name and Position | Ernesto Rodriguez Tanquero (PRESIDENT) |
| Authorized Official Contact | 7862272966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Energy Community Mental Health Clinic Llc 4995 Nw 72nd Ave Ste 102 Miami FL 33166-5643 Ph: (786) 227-2966 | Energy Community Mental Health Clinic Llc 4995 Nw 72nd Ave Ste 102 Miami FL 33166-5643 Ph: (786) 227-2966 |
| NPI Number | 1295310514 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 9931597788 |
|---|---|
| Medicare Enrollment ID | O20211027001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295310514 | NPI | - | NPPES |
| Provider Name | Yezid A Arango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700853132 PECOS PAC ID: 2163444043 Enrollment ID: I20051221000329 |
| Provider Name | Adrian A Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306106877 PECOS PAC ID: 5294967857 Enrollment ID: I20170818002660 |
| Provider Name | Anouk Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659737559 PECOS PAC ID: 8123417128 Enrollment ID: I20211112001314 |
| Provider Name | Othoniel L Echagarruga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303524 PECOS PAC ID: 5395124267 Enrollment ID: I20220623000878 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |