| Influential Therapy Llc | |
|
5411 Starfish Rd Westlake FL 33470-7031 | |
| (561) 914-4005 | |
| Not Available |
| Full Name | Influential Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 5411 Starfish Rd, Westlake, Florida |
| Authorized Official Name and Position | Diana Cardona (OWNER) |
| Authorized Official Contact | 5619144005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Influential Therapy Llc 5411 Starfish Rd Westlake FL 33470-7031 Ph: (561) 914-4005 | Influential Therapy Llc 5411 Starfish Rd Westlake FL 33470-7031 Ph: (561) 914-4005 |
| NPI Number | 1508636077 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 6103261763 |
|---|---|
| Medicare Enrollment ID | O20240305002731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508636077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Diana Cardona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407252026 PECOS PAC ID: 8820433485 Enrollment ID: I20240305003782 |
Bridges Behavioral Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5840 Whippoorwill Cir, Westlake, FL 33470 Phone: 954-534-3392 |