Healing Essence Psychology, Llc | |
4500 Biscayne Blvd Ste 202 Miami FL 33137-3227 | |
(305) 571-9090 | |
(305) 571-7800 |
Full Name | Healing Essence Psychology, Llc |
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Speciality | Psychologist |
Location | 4500 Biscayne Blvd Ste 202, Miami, Florida |
Authorized Official Name and Position | Maria Betina De Souza (OWNER/PRESIDENT) |
Authorized Official Contact | 9546290248 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Essence Psychology, Llc 4500 Biscayne Blvd Ste 202 Miami FL 33137-3227 Ph: (305) 571-9090 | Healing Essence Psychology, Llc 4500 Biscayne Blvd Ste 202 Miami FL 33137-3227 Ph: (305) 571-9090 |
NPI Number | 1063971851 |
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Provider Enumeration Date | 03/19/2019 |
Last Update Date | 09/11/2019 |
Medicare PECOS PAC ID | 8224368279 |
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Medicare Enrollment ID | O20190918001224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063971851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Maria B Desouza |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245633478 PECOS PAC ID: 2567792518 Enrollment ID: I20190918001456 |
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