| Miami Gardens Counseling Service Llc | |
|
20295 Nw 2nd Ave Miami Gardens FL 33169-2550 | |
| (786) 541-5472 | |
| Not Available |
| Full Name | Miami Gardens Counseling Service Llc |
|---|---|
| Speciality | Counselor |
| Location | 20295 Nw 2nd Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Dhaima Chin (OWNER) |
| Authorized Official Contact | 7865415472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Gardens Counseling Service Llc 20295 Nw 2nd Ave Miami Gardens FL 33169-2550 Ph: (786) 541-5472 | Miami Gardens Counseling Service Llc 20295 Nw 2nd Ave Miami Gardens FL 33169-2550 Ph: (786) 541-5472 |
| NPI Number | 1477191567 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Medicare PECOS PAC ID | 9638507361 |
|---|---|
| Medicare Enrollment ID | O20200312000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477191567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dhaima Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407392111 PECOS PAC ID: 7113201708 Enrollment ID: I20170227001698 |
| Provider Name | Melida Berroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275165367 PECOS PAC ID: 9638591993 Enrollment ID: I20200616000767 |
| Provider Name | Aabeda Fatmi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245572650 PECOS PAC ID: 3476975186 Enrollment ID: I20200626000078 |
| Provider Name | Rossana Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548754021 PECOS PAC ID: 8426464009 Enrollment ID: I20210305000329 |
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