| Prosperous Behavioral Health, Llc | |
|
4309 W Atlantic Blvd Apt 917 Coconut Creek FL 33066-1758 | |
| (954) 338-9738 | |
| Not Available |
| Full Name | Prosperous Behavioral Health, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4309 W Atlantic Blvd Apt 917, Coconut Creek, Florida |
| Authorized Official Name and Position | Fanette Prospere (PMHNP/OWNER) |
| Authorized Official Contact | 9543389738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperous Behavioral Health, Llc 5379 Lyons Rd # 1860 Coconut Creek FL 33073-2810 Ph: (954) 338-9738 | Prosperous Behavioral Health, Llc 4309 W Atlantic Blvd Apt 917 Coconut Creek FL 33066-1758 Ph: (954) 338-9738 |
| NPI Number | 1194452631 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194452631 | NPI | - | NPPES |
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