| Elaine Iris Jimenez Dba Sense The Possibilities, Llc | |
|
1515 Michelin Ct Bldg 1542 Lutz FL 33549-7533 | |
| (813) 308-9224 | |
| (813) 762-1343 |
| Full Name | Elaine Iris Jimenez Dba Sense The Possibilities, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1515 Michelin Ct Bldg 1542, Lutz, Florida |
| Authorized Official Name and Position | Elaine Iris Jimenez (PROVIDER/OWNER) |
| Authorized Official Contact | 8133089224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Iris Jimenez Dba Sense The Possibilities, Llc 1515 Michelin Ct Bldg 1542 Lutz FL 33549-7533 Ph: (813) 308-9224 | Elaine Iris Jimenez Dba Sense The Possibilities, Llc 1515 Michelin Ct Bldg 1542 Lutz FL 33549-7533 Ph: (813) 308-9224 |
| NPI Number | 1447873401 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447873401 | NPI | - | NPPES |
| 14930306 | Other | FL | CAQH |
| 1071177100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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