| Florida Mental Health Practitioners, Llc | |
|
7221 Coral Way Ste 206 Miami FL 33155-1436 | |
| (786) 648-4447 | |
| Not Available |
| Full Name | Florida Mental Health Practitioners, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7221 Coral Way Ste 206, Miami, Florida |
| Authorized Official Name and Position | Yolanda Gonzalez (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7866484447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Mental Health Practitioners, Llc Po Box 934878 Margate FL 33093-4878 Ph: (786) 648-4447 | Florida Mental Health Practitioners, Llc 7221 Coral Way Ste 206 Miami FL 33155-1436 Ph: (786) 648-4447 |
| NPI Number | 1770905572 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 4587038476 |
|---|---|
| Medicare Enrollment ID | O20230315002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770905572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11901 (Florida) | Primary |
| Provider Name | Yolanda Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831529452 PECOS PAC ID: 5496129389 Enrollment ID: I20230315002830 |
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