| Good Friend Counseling Services | |
|
4000 Hollywood Blvd Hollywood FL 33021-6751 | |
| (305) 542-6903 | |
| Not Available |
| Full Name | Good Friend Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4000 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Jean Bienaime (MGR) |
| Authorized Official Contact | 3055426903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Friend Counseling Services 4000 Hollywood Blvd Hollywood FL 33021-6751 Ph: () - | Good Friend Counseling Services 4000 Hollywood Blvd Hollywood FL 33021-6751 Ph: (305) 542-6903 |
| NPI Number | 1730548793 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Medicare PECOS PAC ID | 1456640135 |
|---|---|
| Medicare Enrollment ID | O20160519000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730548793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13439 (Florida) | Primary |
| Provider Name | Jean Bienaime |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033578109 PECOS PAC ID: 2365731049 Enrollment ID: I20160519001041 |
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