Innovative Counseling, Llc | |
11615 Pinkston Dr Miami FL 33176-7362 | |
(541) 671-9748 | |
Not Available |
Full Name | Innovative Counseling, Llc |
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Speciality | Counselor |
Location | 11615 Pinkston Dr, Miami, Florida |
Authorized Official Name and Position | Muriell Carlisle (COUNSELOR) |
Authorized Official Contact | 5416719748 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Innovative Counseling, Llc 1998 Pruner Rd Riddle OR 97469-8639 Ph: (541) 671-9748 | Innovative Counseling, Llc 11615 Pinkston Dr Miami FL 33176-7362 Ph: (541) 671-9748 |
NPI Number | 1528658754 |
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Provider Enumeration Date | 01/21/2021 |
Last Update Date | 01/21/2021 |
Certification Date | 01/21/2021 |
Medicare PECOS PAC ID | 6800233255 |
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Medicare Enrollment ID | O20240321002301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528658754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Muriell Carlisle |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063832897 PECOS PAC ID: 7719324060 Enrollment ID: I20240321002422 |
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