Life Is Good Therapy Llc | |
3025 Oaktree Ln Hollywood FL 33021-2667 | |
(917) 463-6553 | |
Not Available |
Full Name | Life Is Good Therapy Llc |
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Speciality | Social Worker |
Location | 3025 Oaktree Ln, Hollywood, Florida |
Authorized Official Name and Position | Andrey Davydov (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9174636553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Is Good Therapy Llc 3025 Oaktree Ln Hollywood FL 33021-2667 Ph: (917) 463-6553 | Life Is Good Therapy Llc 3025 Oaktree Ln Hollywood FL 33021-2667 Ph: (917) 463-6553 |
NPI Number | 1770174070 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 01/29/2021 |
Certification Date | 01/29/2021 |
Medicare PECOS PAC ID | 9638587959 |
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Medicare Enrollment ID | O20210426000865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770174070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Andrey Davydov |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801497185 PECOS PAC ID: 3274941596 Enrollment ID: I20210426000924 |
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