| Mind & Body Counseling Institute | |
|
1949 Sw Idaho Ln Port St Lucie FL 34953-1883 | |
| (772) 233-6295 | |
| Not Available |
| Full Name | Mind & Body Counseling Institute |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1949 Sw Idaho Ln, Port St Lucie, Florida |
| Authorized Official Name and Position | Duviel Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7722336295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Body Counseling Institute 1949 Sw Idaho Ln Port St Lucie FL 34953-1883 Ph: (772) 233-6295 | Mind & Body Counseling Institute 1949 Sw Idaho Ln Port St Lucie FL 34953-1883 Ph: (772) 233-6295 |
| NPI Number | 1134669427 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 9931479722 |
|---|---|
| Medicare Enrollment ID | O20170727001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134669427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW14065 (Florida) | Primary |
| Provider Name | Duviel Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952640021 PECOS PAC ID: 0840560637 Enrollment ID: I20170727001520 |
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