| Soul Gate Inc | |
|
7135 Collins Ave Suite 811 Miami Beach FL 33141-3238 | |
| (305) 672-1589 | |
| (305) 672-1589 |
| Full Name | Soul Gate Inc |
|---|---|
| Speciality | Counselor |
| Location | 7135 Collins Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Silvina Belmonte (PRESIDENT) |
| Authorized Official Contact | 3056721589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Gate Inc 7135 Collins Ave Suite 811 Miami Beach FL 33141-3238 Ph: (305) 672-1589 | Soul Gate Inc 7135 Collins Ave Suite 811 Miami Beach FL 33141-3238 Ph: (305) 672-1589 |
| NPI Number | 1710105481 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173963642 |
|---|---|
| Medicare Enrollment ID | O20240501000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710105481 | NPI | - | NPPES |
| Z9902 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0005080 (Florida) | Primary |
| Provider Name | Silvina Belmonte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043412042 PECOS PAC ID: 7214377464 Enrollment ID: I20240504000062 |
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