| Sandy Behavioral Health Inc. | |
|
12905 Sw 42nd St Miami FL 33175-2905 | |
| (786) 367-1064 | |
| Not Available |
| Full Name | Sandy Behavioral Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12905 Sw 42nd St, Miami, Florida |
| Authorized Official Name and Position | Sandra Mola (PRESIDENT) |
| Authorized Official Contact | 7863671064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Behavioral Health Inc. 12905 Sw 42nd St Miami FL 33175-2905 Ph: (786) 367-1064 | Sandy Behavioral Health Inc. 12905 Sw 42nd St Miami FL 33175-2905 Ph: (786) 367-1064 |
| NPI Number | 1386426237 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 7416396213 |
|---|---|
| Medicare Enrollment ID | O20240412001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386426237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jenny Parra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235759523 PECOS PAC ID: 2668811464 Enrollment ID: I20240412001806 |
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