| Nzinga's Place Llc | |
|
66 W Flagler St Ste 900 Miami FL 33130-1807 | |
| (617) 440-4650 | |
| (305) 402-7906 |
| Full Name | Nzinga's Place Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 66 W Flagler St Ste 900, Miami, Florida |
| Authorized Official Name and Position | Miesha N Williams-jeanty (MANAGER) |
| Authorized Official Contact | 6174404650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nzinga's Place Llc 66 W Flagler St Ste 900 Miami FL 33130-1807 Ph: (305) 306-7409 | Nzinga's Place Llc 66 W Flagler St Ste 900 Miami FL 33130-1807 Ph: (617) 440-4650 |
| NPI Number | 1043880883 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 0840733143 |
|---|---|
| Medicare Enrollment ID | O20240614001873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043880883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Miesha Williams-jeanty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356846497 PECOS PAC ID: 5799128625 Enrollment ID: I20240208000259 |
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