| Purple Tree Counseling | |
|
68 Se 6th St Apt 3103 Miami FL 33131-3495 | |
| (312) 767-4224 | |
| Not Available |
| Full Name | Purple Tree Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 68 Se 6th St Apt 3103, Miami, Florida |
| Authorized Official Name and Position | Carmen Farah Juneidi (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3127674224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Tree Counseling 68 Se 6th St Apt 3103 Miami FL 33131-3495 Ph: (312) 767-4224 | Purple Tree Counseling 68 Se 6th St Apt 3103 Miami FL 33131-3495 Ph: (312) 767-4224 |
| NPI Number | 1134763477 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 8628405701 |
|---|---|
| Medicare Enrollment ID | O20200302002082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134763477 | NPI | - | NPPES |
| SW20746 | Other | FL | LCSW LICENSE |
| 8500T | Other | TN | LCSW LICENSE |
| 149.021508 | Other | IL | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carmen Farah Juneidi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184267775 PECOS PAC ID: 9537596614 Enrollment ID: I20200302002182 |
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