| Lebt Mental Health Llc | |
|
2500 Nw 79th Ave Ste 233 Miami FL 33122-1086 | |
| (786) 458-7100 | |
| Not Available |
| Full Name | Lebt Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Nw 79th Ave Ste 233, Miami, Florida |
| Authorized Official Name and Position | Enrique Barreiro (MANAGER) |
| Authorized Official Contact | 7863028472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebt Mental Health Llc 1220 W 62nd St Hialeah FL 33012-6319 Ph: (786) 458-7100 | Lebt Mental Health Llc 2500 Nw 79th Ave Ste 233 Miami FL 33122-1086 Ph: (786) 458-7100 |
| NPI Number | 1932841665 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 4385086388 |
|---|---|
| Medicare Enrollment ID | O20240522001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932841665 | NPI | - | NPPES |
| 102417900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Berkis Turino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013466168 PECOS PAC ID: 0547602542 Enrollment ID: I20240522001798 |
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