Flourishing In Your Purpose | |
7089 Banyan Leaf Dr Apt 108 West Palm Beach FL 33413-1169 | |
(850) 284-7728 | |
Not Available |
Full Name | Flourishing In Your Purpose |
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Speciality | Social Worker |
Location | 7089 Banyan Leaf Dr Apt 108, West Palm Beach, Florida |
Authorized Official Name and Position | Kalia Fleming (OWNER/THERAPIST) |
Authorized Official Contact | 5613258502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flourishing In Your Purpose 7089 Banyan Leaf Dr Apt 108 West Palm Beach FL 33413-1169 Ph: (850) 284-7728 | Flourishing In Your Purpose 7089 Banyan Leaf Dr Apt 108 West Palm Beach FL 33413-1169 Ph: (850) 284-7728 |
NPI Number | 1285326629 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 05/24/2023 |
Certification Date | 05/24/2023 |
Medicare PECOS PAC ID | 9638539158 |
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Medicare Enrollment ID | O20230717000098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285326629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kalia Shanell Fleming |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295269124 PECOS PAC ID: 4082079066 Enrollment ID: I20230426001160 |
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