|
| |
|
1499 Forest Hill Blvd Ste 115 West Palm Beach FL 33406-6050 | |
| (561) 463-0884 | |
| (877) 317-9406 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1499 Forest Hill Blvd Ste 115, West Palm Beach, Florida |
| Authorized Official Name and Position | Fartun S. Mohamud (OWNER) |
| Authorized Official Contact | 5614630884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1499 Forest Hill Blvd Ste 115 West Palm Beach FL 33406-6050 Ph: (561) 463-0884 | 1499 Forest Hill Blvd Ste 115 West Palm Beach FL 33406-6050 Ph: (561) 463-0884 |
| NPI Number | 1174165898 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 11/12/2022 |
| Certification Date | 11/12/2022 |
| Medicare PECOS PAC ID | 9638575996 |
|---|---|
| Medicare Enrollment ID | O20210913000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174165898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Kimberly Jeluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265573109 PECOS PAC ID: 0143202804 Enrollment ID: I20040605000043 |
| Provider Name | Socorro Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922304328 PECOS PAC ID: 4082899174 Enrollment ID: I20110505000484 |
| Provider Name | Diane Rutenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336424886 PECOS PAC ID: 1850559964 Enrollment ID: I20120221000577 |
| Provider Name | Ann Spackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285732867 PECOS PAC ID: 4082044326 Enrollment ID: I20200428001787 |
| Provider Name | Fartun S. Mohamud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205965506 PECOS PAC ID: 2567868847 Enrollment ID: I20231215002044 |
Rehab South Florida Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4460 Medical Center Way, West Palm Beach, FL 33407 Phone: 863-532-3151 | |
Sunshine Of Tomorrow Behavioral Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7711 N Military Trl Ste 204, West Palm Beach, FL 33410 Phone: 561-914-4104 | |
Diosark, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1546 42nd St, West Palm Beach, FL 33407 Phone: 561-840-1647 Fax: 561-840-6415 | |
Crossroads Counseling Center Of The Palm Beaches Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Forest Hill Blvd, Suite 105, West Palm Beach, FL 33406 Phone: 561-722-7084 Fax: 561-697-9925 | |
Wellbeing Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7750 Okeechobee Blvd # 4-76, West Palm Beach, FL 33411 Phone: 772-678-0341 | |
Be Free Stay Free Family & Individual Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Whitehall Dr Apt 206, West Palm Beach, FL 33401 Phone: 561-377-2373 |