| Rivas Psychotherapy | |
|
2111 N Commerce Pkwy Weston FL 33326-3238 | |
| (631) 455-1581 | |
| Not Available |
| Full Name | Rivas Psychotherapy |
|---|---|
| Speciality | Counselor |
| Location | 2111 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Michele Rivas (OWNER) |
| Authorized Official Contact | 6314551581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivas Psychotherapy 208 Sw 159th Way Sunrise FL 33326-2275 Ph: () - | Rivas Psychotherapy 2111 N Commerce Pkwy Weston FL 33326-3238 Ph: (631) 455-1581 |
| NPI Number | 1437921368 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 5395196513 |
|---|---|
| Medicare Enrollment ID | O20240111002689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437921368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michele Rivas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437506391 PECOS PAC ID: 7618328865 Enrollment ID: I20240111003953 |
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