| Now Change Center, Llc | |
|
1725 Main St Ste 223 Weston FL 33326-3671 | |
| (754) 304-6378 | |
| Not Available |
| Full Name | Now Change Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1725 Main St Ste 223, Weston, Florida |
| Authorized Official Name and Position | Marianela Pena-martinez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7543046378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Now Change Center, Llc 8350 Sw 41st Ct Davie FL 33328-2944 Ph: () - | Now Change Center, Llc 1725 Main St Ste 223 Weston FL 33326-3671 Ph: (754) 304-6378 |
| NPI Number | 1790558195 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 4385097575 |
|---|---|
| Medicare Enrollment ID | O20240124000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558195 | NPI | - | NPPES |
| Provider Name | Marianela Pena-martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780967554 PECOS PAC ID: 5294188488 Enrollment ID: I20240124001001 |
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