| M.a.m. Therapeutic Services | |
|
20535 Nw 2nd Ave Ste 204 Miami FL 33169-2547 | |
| (786) 529-6486 | |
| (305) 437-7675 |
| Full Name | M.a.m. Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 20535 Nw 2nd Ave Ste 204, Miami, Florida |
| Authorized Official Name and Position | Melida Berroa (OWNER) |
| Authorized Official Contact | 3059344382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.a.m. Therapeutic Services 20535 Nw 2nd Ave Ste 204 Miami FL 33169-2547 Ph: (305) 934-4382 | M.a.m. Therapeutic Services 20535 Nw 2nd Ave Ste 204 Miami FL 33169-2547 Ph: (786) 529-6486 |
| NPI Number | 1215536180 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 0446612931 |
|---|---|
| Medicare Enrollment ID | O20230815004074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215536180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melida Berroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275165367 PECOS PAC ID: 9638591993 Enrollment ID: I20200616000767 |
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