| Mountain Of Love Therapy Llc | |
|
330 Sw 27th Ave Ste 609 Miami FL 33135-2968 | |
| (786) 378-0741 | |
| Not Available |
| Full Name | Mountain Of Love Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 330 Sw 27th Ave Ste 609, Miami, Florida |
| Authorized Official Name and Position | Yulenia Hernandez Valdivia (OWNER) |
| Authorized Official Contact | 7863780741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Of Love Therapy Llc 330 Sw 27th Ave Ste 609 Miami FL 33135-2968 Ph: (786) 743-0801 | Mountain Of Love Therapy Llc 330 Sw 27th Ave Ste 609 Miami FL 33135-2968 Ph: (786) 378-0741 |
| NPI Number | 1396339057 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 7214328004 |
|---|---|
| Medicare Enrollment ID | O20220105002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396339057 | NPI | - | NPPES |
| 109651700 | Medicaid | FL | |
| 111283800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aaron Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780043703 PECOS PAC ID: 4284971540 Enrollment ID: I20190124000315 |
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