|
| |
|
2853 Executive Park Dr Weston FL 33331-3656 | |
| (954) 800-2686 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 2853 Executive Park Dr, Weston, Florida |
| Authorized Official Name and Position | Benjamin Marchant (OWNER) |
| Authorized Official Contact | 2066185560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1703 Ne 5th St Fort Lauderdale FL 33301-1325 Ph: () - | 2853 Executive Park Dr Weston FL 33331-3656 Ph: (954) 800-2686 |
| NPI Number | 1346967122 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 3476928185 |
|---|---|
| Medicare Enrollment ID | O20230412000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346967122 | NPI | - | NPPES |
| 116901400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Keara Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063187094 PECOS PAC ID: 4385049535 Enrollment ID: I20210825003695 |
| Provider Name | Tiara Lee Leavitt- Celestina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396240826 PECOS PAC ID: 6204225907 Enrollment ID: I20211118002244 |
| Provider Name | Carolyn Jean Tope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952666596 PECOS PAC ID: 1759760986 Enrollment ID: I20220618000428 |
| Provider Name | Jalia D Smart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518471655 PECOS PAC ID: 0143609073 Enrollment ID: I20220622003075 |
| Provider Name | Sammy Tzabery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588204788 PECOS PAC ID: 1052769031 Enrollment ID: I20231201000624 |
| Provider Name | Fabiola P Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073358404 PECOS PAC ID: 2668911744 Enrollment ID: I20240903004139 |
| Provider Name | Benjamin Parrish Zeiger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073093084 PECOS PAC ID: 3870033640 Enrollment ID: I20240906002980 |
| Provider Name | Kamise Tara Clare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821247370 PECOS PAC ID: 9032659719 Enrollment ID: I20240909002786 |
Family Psychcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16680 S Post Rd, Suite 104, Weston, FL 33331 Phone: 917-406-8884 | |
Divine Options, Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Truman Dr, Weston, FL 33326 Phone: 305-785-3422 | |
Town Center For Eating Disorders , Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Town Center Cir Ste 204, Weston, FL 33326 Phone: 954-385-0055 Fax: 954-385-3814 | |
Advanced Psychological Services Of Weston, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2813 Executive Park Dr Ste 116, Weston, FL 33331 Phone: 954-951-0932 | |
Dr. Talkitout Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 Lake Point Dr, Weston, FL 33326 Phone: 414-803-0300 | |
New Psych Experts Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2645 Executive Park Dr Ste 330, Weston, FL 33331 Phone: 954-751-4269 | |
S&m Behavior Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Commerce Pkwy Ste 200, Weston, FL 33326 Phone: 786-325-7054 |