| New Life Mental Health Community Center | |
|
10700 Caribbean Blvd Ste 402 Cutler Bay FL 33189-1232 | |
| (786) 250-3040 | |
| (786) 250-3050 |
| Full Name | New Life Mental Health Community Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10700 Caribbean Blvd Ste 402, Cutler Bay, Florida |
| Authorized Official Name and Position | Yaimara D Fernandez Gomez (OWNER) |
| Authorized Official Contact | 7865486774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Mental Health Community Center 10700 Caribbean Blvd Ste 402 Cutler Bay FL 33189-1232 Ph: (786) 250-3040 | New Life Mental Health Community Center 10700 Caribbean Blvd Ste 402 Cutler Bay FL 33189-1232 Ph: (786) 250-3040 |
| NPI Number | 1700561685 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 0648628628 |
|---|---|
| Medicare Enrollment ID | O20231201000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700561685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yaimara D Fernandez Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528599628 PECOS PAC ID: 1557719531 Enrollment ID: I20231201000493 |
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