| L.i.f.e Center For Healing & Growth Inc. | |
|
12360 Sw 132nd Ct Ste 113 Miami FL 33186-6461 | |
| (305) 588-4143 | |
| Not Available |
| Full Name | L.i.f.e Center For Healing & Growth Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12360 Sw 132nd Ct Ste 113, Miami, Florida |
| Authorized Official Name and Position | Jenny Silverio (PRESIDENT/CEO) |
| Authorized Official Contact | 7865879631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.i.f.e Center For Healing & Growth Inc. 12360 Sw 132nd Ct Ste 113 Miami FL 33186-6461 Ph: () - | L.i.f.e Center For Healing & Growth Inc. 12360 Sw 132nd Ct Ste 113 Miami FL 33186-6461 Ph: (305) 588-4143 |
| NPI Number | 1740793868 |
|---|---|
| Provider Enumeration Date | 11/11/2017 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 5890138812 |
|---|---|
| Medicare Enrollment ID | O20240207000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740793868 | NPI | - | NPPES |
| 022983800 | Medicaid | FL |
| Provider Name | Lucero M Rodriguez |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1255364113 PECOS PAC ID: 6305851411 Enrollment ID: I20060213000159 |
| Provider Name | Jenny Silverio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912256397 PECOS PAC ID: 3173976370 Enrollment ID: I20240207000935 |
| Provider Name | Maricruz Sardinas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144905423 PECOS PAC ID: 0446693485 Enrollment ID: I20240207001568 |
| Provider Name | Jeremy Lozada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932683075 PECOS PAC ID: 2567805484 Enrollment ID: I20240208000099 |
| Provider Name | Rebekah Mena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184402406 PECOS PAC ID: 6204271521 Enrollment ID: I20240227000928 |
| Provider Name | Jenny Silverio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912256397 PECOS PAC ID: 3173976370 Enrollment ID: I20240501000387 |
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