| Positive Transformation Psychological Services Llc | |
|
11828 Nw 13th St Pembroke Pines FL 33026-4345 | |
| (954) 627-2149 | |
| (954) 212-8154 |
| Full Name | Positive Transformation Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11828 Nw 13th St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Carl-philippe Pierre-paul (CHAIRMAN & CEO) |
| Authorized Official Contact | 5164182673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Transformation Psychological Services Llc 11828 Nw 13th St Pembroke Pines FL 33026-4345 Ph: (954) 627-2149 | Positive Transformation Psychological Services Llc 11828 Nw 13th St Pembroke Pines FL 33026-4345 Ph: (954) 627-2149 |
| NPI Number | 1710607635 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 5193194447 |
|---|---|
| Medicare Enrollment ID | O20221209000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710607635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Carl Philippe Pierre Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013542166 PECOS PAC ID: 5395133573 Enrollment ID: I20211020001056 |
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