| Mental Health Of Central Florida, Llc | |
|
929 N Us Highway 441 Ste 102 Lady Lake FL 32159-3002 | |
| (352) 633-0473 | |
| (352) 775-9562 |
| Full Name | Mental Health Of Central Florida, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 N Us Highway 441 Ste 102, Lady Lake, Florida |
| Authorized Official Name and Position | Ivonne M Ferrer Hopgood (OWNER) |
| Authorized Official Contact | 7876372581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Of Central Florida, Llc 3819 Se 38th Loop Ocala FL 34480-4942 Ph: (787) 637-2581 | Mental Health Of Central Florida, Llc 929 N Us Highway 441 Ste 102 Lady Lake FL 32159-3002 Ph: (352) 633-0473 |
| NPI Number | 1497221865 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 6800139411 |
|---|---|
| Medicare Enrollment ID | O20190523000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497221865 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ivonne Marie Ferrer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326216748 PECOS PAC ID: 7618210220 Enrollment ID: I20190523000918 |
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