| Health And Healing Mental Health Center | |
|
1599 Se Lennard Rd Port St Lucie FL 34952-6542 | |
| (772) 323-0762 | |
| Not Available |
| Full Name | Health And Healing Mental Health Center |
|---|---|
| Speciality | Psychologist |
| Location | 1599 Se Lennard Rd, Port St Lucie, Florida |
| Authorized Official Name and Position | Marlene Egusquiza (PSYCHOLOGIST) |
| Authorized Official Contact | 7862105277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Healing Mental Health Center 1599 Se Lennard Rd Port St Lucie FL 34952-6542 Ph: (772) 323-0762 | Health And Healing Mental Health Center 1599 Se Lennard Rd Port St Lucie FL 34952-6542 Ph: (772) 323-0762 |
| NPI Number | 1619688314 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 5496125346 |
|---|---|
| Medicare Enrollment ID | O20230110002494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619688314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Marlene Caridad Egusquiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669014460 PECOS PAC ID: 9931505922 Enrollment ID: I20210830002865 |
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