| Mindful Lotus Therapy Inc | |
|
6990 Griffin Rd Davie FL 33314-4345 | |
| (754) 248-9589 | |
| (754) 764-0054 |
| Full Name | Mindful Lotus Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 6990 Griffin Rd, Davie, Florida |
| Authorized Official Name and Position | Leigh Dana Ojeda (OWNER) |
| Authorized Official Contact | 7542489589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Lotus Therapy Inc 6990 Griffin Rd Davie FL 33314-4345 Ph: (754) 248-9589 | Mindful Lotus Therapy Inc 6990 Griffin Rd Davie FL 33314-4345 Ph: (754) 248-9589 |
| NPI Number | 1871231571 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 6709264369 |
|---|---|
| Medicare Enrollment ID | O20220609002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871231571 | NPI | - | NPPES |
| 114413700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eileen J Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205104049 PECOS PAC ID: 5991971434 Enrollment ID: I20120104000361 |
| Provider Name | Nuria Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164767802 PECOS PAC ID: 3375845597 Enrollment ID: I20160105002481 |
| Provider Name | Leigh D Ojeda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518161785 PECOS PAC ID: 3173900222 Enrollment ID: I20220511002540 |
| Provider Name | Claudia Betancur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689721870 PECOS PAC ID: 2769850478 Enrollment ID: I20221129003542 |
| Provider Name | Candy Rafeny Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891319935 PECOS PAC ID: 3476928953 Enrollment ID: I20230414001367 |
| Provider Name | Diana M Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417649146 PECOS PAC ID: 7719344316 Enrollment ID: I20230612003113 |
| Provider Name | Wendy Silber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649571423 PECOS PAC ID: 1254512486 Enrollment ID: I20240326002462 |
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