Prevail And Progress Counseling Pllc | |
18704 Sw 100th Ave Cutler Bay FL 33157-6906 | |
(305) 812-6018 | |
Not Available |
Full Name | Prevail And Progress Counseling Pllc |
---|---|
Speciality | Counselor |
Location | 18704 Sw 100th Ave, Cutler Bay, Florida |
Authorized Official Name and Position | Tiffany Simone Crider (CEO) |
Authorized Official Contact | 7863007080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prevail And Progress Counseling Pllc 18704 Sw 100th Ave Cutler Bay FL 33157-6906 Ph: (305) 812-6018 | Prevail And Progress Counseling Pllc 18704 Sw 100th Ave Cutler Bay FL 33157-6906 Ph: (305) 812-6018 |
NPI Number | 1053073304 |
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Provider Enumeration Date | 10/13/2021 |
Last Update Date | 10/13/2021 |
Certification Date | 10/13/2021 |
Medicare PECOS PAC ID | 4981041514 |
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Medicare Enrollment ID | O20240319001765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053073304 | NPI | - | NPPES |
1083961171 | Other | FL | NPI |
Provider Name | Tiffany Crider |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083961171 PECOS PAC ID: 6709223332 Enrollment ID: I20240319001844 |
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