| Positive Mindset Group | |
|
4735 Old Canoe Creek Rd Saint Cloud FL 34769-1400 | |
| (321) 257-3960 | |
| (407) 604-7677 |
| Full Name | Positive Mindset Group |
|---|---|
| Speciality | Psychologist |
| Location | 4735 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Tania I Marrero-santiago (CEO) |
| Authorized Official Contact | 3212573960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Mindset Group 4735 Old Canoe Creek Rd Saint Cloud FL 34769-1400 Ph: (321) 257-3960 | Positive Mindset Group 4735 Old Canoe Creek Rd Saint Cloud FL 34769-1400 Ph: (321) 257-3960 |
| NPI Number | 1982225595 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 6002227485 |
|---|---|
| Medicare Enrollment ID | O20201117000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982225595 | NPI | - | NPPES |
| 102316900 | Medicaid | FL | |
| 14356948 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tania I Marrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154668861 PECOS PAC ID: 5597020784 Enrollment ID: I20180516002923 |
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