| Sunbeam Mental Care | |
|
4741 Old Canoe Creek Rd Saint Cloud FL 34769-1400 | |
| (407) 715-2099 | |
| (407) 891-5040 |
| Full Name | Sunbeam Mental Care |
|---|---|
| Speciality | Counselor |
| Location | 4741 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Stephanie Marie Cruz (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4077152099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunbeam Mental Care 3430 Goldeneye Ln Saint Cloud FL 34772-7765 Ph: (407) 715-2099 | Sunbeam Mental Care 4741 Old Canoe Creek Rd Saint Cloud FL 34769-1400 Ph: (407) 715-2099 |
| NPI Number | 1588295190 |
|---|---|
| Provider Enumeration Date | 02/01/2020 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 2961852710 |
|---|---|
| Medicare Enrollment ID | O20231220001866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588295190 | NPI | - | NPPES |
| 018959000 | Medicaid | FL | |
| 106154500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Stephanie Marie Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558634691 PECOS PAC ID: 3870943624 Enrollment ID: I20231220001952 |
| Provider Name | Alexis Troche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841608304 PECOS PAC ID: 4284077272 Enrollment ID: I20240206004888 |
| Provider Name | Natasha Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609471762 PECOS PAC ID: 1759729973 Enrollment ID: I20240409000187 |
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