| Sl Therapy, Inc. | |
|
2250 Nw 136th Ave #104 Pembroke Pines FL 33028 | |
| (954) 437-7072 | |
| (954) 212-5757 |
| Full Name | Sl Therapy, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2250 Nw 136th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Suzanne Marie Leitner (OWNER) |
| Authorized Official Contact | 9544377072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sl Therapy, Inc. 2250 Nw 136th Ave #104 Pembroke Pines FL 33028 Ph: (954) 437-7072 | Sl Therapy, Inc. 2250 Nw 136th Ave #104 Pembroke Pines FL 33028 Ph: (954) 437-7072 |
| NPI Number | 1992147417 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1951535459 |
|---|---|
| Medicare Enrollment ID | O20131017000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992147417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0004454 (Florida) | Primary |
| Provider Name | Suzanne M Leitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669576773 PECOS PAC ID: 5698671683 Enrollment ID: I20131017000320 |
| Provider Name | Nicole Renee Ovedia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700454105 PECOS PAC ID: 0840688776 Enrollment ID: I20211026003630 |
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