Family Balance Therapy, Llc | |
8600 Sw 212th St Apt 210 Cutler Bay FL 33189-3812 | |
(786) 771-3370 | |
Not Available |
Full Name | Family Balance Therapy, Llc |
---|---|
Speciality | Social Worker |
Location | 8600 Sw 212th St Apt 210, Cutler Bay, Florida |
Authorized Official Name and Position | Flor De Liz Santiago Fernandez (ADMINISTRATOR) |
Authorized Official Contact | 7862633965 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Balance Therapy, Llc 8600 Sw 212th St Apt 210 Cutler Bay FL 33189-3812 Ph: (786) 771-3370 | Family Balance Therapy, Llc 8600 Sw 212th St Apt 210 Cutler Bay FL 33189-3812 Ph: (786) 771-3370 |
NPI Number | 1447879465 |
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Provider Enumeration Date | 04/09/2020 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Medicare PECOS PAC ID | 1355780974 |
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Medicare Enrollment ID | O20240416001837 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447879465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Flor De Liz Santiago Fernandez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831724665 PECOS PAC ID: 3173962792 Enrollment ID: I20240416001962 |
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