| Peace Of Mind Mental Health Services Corp | |
|
4715 Nw 157th St Ste 124 Miami Lakes FL 33014-6408 | |
| (786) 703-4154 | |
| (786) 332-3240 |
| Full Name | Peace Of Mind Mental Health Services Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4715 Nw 157th St Ste 124, Miami Lakes, Florida |
| Authorized Official Name and Position | Maria Esther Medina (CEO) |
| Authorized Official Contact | 7862529131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Mental Health Services Corp 4715 Nw 157th St Ste 124 Miami Lakes FL 33014-6408 Ph: (786) 703-4154 | Peace Of Mind Mental Health Services Corp 4715 Nw 157th St Ste 124 Miami Lakes FL 33014-6408 Ph: (786) 703-4154 |
| NPI Number | 1659803773 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 9830595529 |
|---|---|
| Medicare Enrollment ID | O20210903000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659803773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Antonia E Ruaix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023029626 PECOS PAC ID: 7810051745 Enrollment ID: I20120905000110 |
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