| Good Psychotherapy Services | |
|
17040 Sw 139th Pl Miami FL 33177-2720 | |
| (305) 301-4676 | |
| Not Available |
| Full Name | Good Psychotherapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 17040 Sw 139th Pl, Miami, Florida |
| Authorized Official Name and Position | Weena Gonzalez (OWNER) |
| Authorized Official Contact | 3053014676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Psychotherapy Services 17040 Sw 139th Pl Miami FL 33177-2720 Ph: (305) 301-4676 | Good Psychotherapy Services 17040 Sw 139th Pl Miami FL 33177-2720 Ph: (305) 301-4676 |
| NPI Number | 1720836976 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9234671934 |
|---|---|
| Medicare Enrollment ID | O20240610002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720836976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Weena Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568030633 PECOS PAC ID: 2365818762 Enrollment ID: I20221026000021 |
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