| Faith And Hope Services Group Llc | |
|
230 Canal St Apt 202 Miami Springs FL 33166-4456 | |
| (305) 416-8189 | |
| Not Available |
| Full Name | Faith And Hope Services Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 230 Canal St Apt 202, Miami Springs, Florida |
| Authorized Official Name and Position | Lissette Alvarez (CEO) |
| Authorized Official Contact | 3054168189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith And Hope Services Group Llc 230 Canal St Apt 202 Miami Springs FL 33166-4456 Ph: (305) 416-8189 | Faith And Hope Services Group Llc 230 Canal St Apt 202 Miami Springs FL 33166-4456 Ph: (305) 416-8189 |
| NPI Number | 1669171294 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 1850730391 |
|---|---|
| Medicare Enrollment ID | O20240417002296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669171294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Lissette Alvarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578003182 PECOS PAC ID: 2769821206 Enrollment ID: I20240417002555 |
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