| Ivalucyabramslmhc | |
|
9740 Nw 35th St Hollywood FL 33024-8002 | |
| (954) 559-5829 | |
| (954) 433-3745 |
| Full Name | Ivalucyabramslmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9740 Nw 35th St, Hollywood, Florida |
| Authorized Official Name and Position | Heidi Weisher-pinzon (MANAGER) |
| Authorized Official Contact | 5616012067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivalucyabramslmhc 9740 Nw 35th St Hollywood FL 33024-8002 Ph: (954) 559-5829 | Ivalucyabramslmhc 9740 Nw 35th St Hollywood FL 33024-8002 Ph: (954) 559-5829 |
| NPI Number | 1295415529 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295415529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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