| Masterpiece Behavioral Services, Llc | |
|
12150 Sw 128th Ct Ste 108 Miami FL 33186-4648 | |
| (786) 732-0607 | |
| (786) 732-0637 |
| Full Name | Masterpiece Behavioral Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12150 Sw 128th Ct Ste 108, Miami, Florida |
| Authorized Official Name and Position | Madiane Perez (MANAGER) |
| Authorized Official Contact | 3052445085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masterpiece Behavioral Services, Llc 12150 Sw 128th Ct Ste 108 Miami FL 33186-4648 Ph: (786) 732-0607 | Masterpiece Behavioral Services, Llc 12150 Sw 128th Ct Ste 108 Miami FL 33186-4648 Ph: (786) 732-0607 |
| NPI Number | 1083066971 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083066971 | NPI | - | NPPES |
| 003762900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 10803 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | BACB 1-15-21803 (Florida) | Secondary |
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