| Its All Grief, Llc | |
|
800 Ne 62nd St Ste 406 Fort Lauderdale FL 33334-3522 | |
| (954) 412-9698 | |
| Not Available |
| Full Name | Its All Grief, Llc |
|---|---|
| Speciality | Counselor |
| Location | 800 Ne 62nd St Ste 406, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Antwan Mckenzie-plez (OWNER) |
| Authorized Official Contact | 9544129698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Its All Grief, Llc Po Box 1298 Pompano Beach FL 33061-1298 Ph: (954) 412-9698 | Its All Grief, Llc 800 Ne 62nd St Ste 406 Fort Lauderdale FL 33334-3522 Ph: (954) 412-9698 |
| NPI Number | 1396330858 |
|---|---|
| Provider Enumeration Date | 03/07/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Medicare PECOS PAC ID | 3375993967 |
|---|---|
| Medicare Enrollment ID | O20231221004045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396330858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Antwan Mckenzie-plez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811513450 PECOS PAC ID: 4284084872 Enrollment ID: I20231221004066 |
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