| S Fl Behavioral Health Assoc, Llc | |
|
1250 E Hallandale Beach Blvd Ste 700 Hallandale Beach FL 33009-4641 | |
| (954) 362-8677 | |
| (954) 458-8167 |
| Full Name | S Fl Behavioral Health Assoc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, Florida |
| Authorized Official Name and Position | Catherine Funes (OWNER) |
| Authorized Official Contact | 9543628677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Fl Behavioral Health Assoc, Llc 200 E Hallandale Beach Blvd Hallandale Beach FL 33009-5525 Ph: (954) 362-8677 | S Fl Behavioral Health Assoc, Llc 1250 E Hallandale Beach Blvd Ste 700 Hallandale Beach FL 33009-4641 Ph: (954) 362-8677 |
| NPI Number | 1699538140 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 2365888286 |
|---|---|
| Medicare Enrollment ID | O20240313002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699538140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Catherine Fernanda Funes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124416276 PECOS PAC ID: 6305115270 Enrollment ID: I20170708000292 |
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