| Mdtelepsychotherapy, Llc | |
|
19500 Turnberry Way Ph F Aventura FL 33180-2539 | |
| (954) 961-1500 | |
| (561) 450-5230 |
| Full Name | Mdtelepsychotherapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19500 Turnberry Way Ph F, Aventura, Florida |
| Authorized Official Name and Position | Monique Martin (BUSINESS MANAGER) |
| Authorized Official Contact | 5617276196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdtelepsychotherapy, Llc 19500 Turnberry Way Ph F Aventura FL 33180-2539 Ph: (786) 877-5800 | Mdtelepsychotherapy, Llc 19500 Turnberry Way Ph F Aventura FL 33180-2539 Ph: (954) 961-1500 |
| NPI Number | 1629692611 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629692611 | NPI | - | NPPES |
| MH969 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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