Homestead Behavior Health Plus Llc | |
395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 | |
(305) 986-2073 | |
Not Available |
Full Name | Homestead Behavior Health Plus Llc |
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Speciality | Community/Behavioral Health |
Location | 395 Nw 14th Ave Unit 2, Homestead, Florida |
Authorized Official Name and Position | Liumis A Morales (MBR) |
Authorized Official Contact | 3059862073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Homestead Behavior Health Plus Llc 395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 Ph: (305) 986-2073 | Homestead Behavior Health Plus Llc 395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 Ph: (305) 986-2073 |
NPI Number | 1649890013 |
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Provider Enumeration Date | 04/25/2020 |
Last Update Date | 11/30/2022 |
Certification Date | 11/30/2022 |
Medicare PECOS PAC ID | 4284045857 |
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Medicare Enrollment ID | O20201203000710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649890013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Mayelin Morales |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
Provider Name | Ariel Joaquin Goitia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679044523 PECOS PAC ID: 1254539406 Enrollment ID: I20220826000940 |
Provider Name | Yamelkis Diaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174121123 PECOS PAC ID: 8426583188 Enrollment ID: I20241119001878 |
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