| Supportive Engagement Llc | |
|
6760 Charleston St Hollywood FL 33024-1824 | |
| (954) 405-8415 | |
| Not Available |
| Full Name | Supportive Engagement Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6760 Charleston St, Hollywood, Florida |
| Authorized Official Name and Position | Jeymarie Guerra (OWNER / MANAGER) |
| Authorized Official Contact | 9544058415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Engagement Llc 18520 Nw 67th Ave # 148 Miami Gardens FL 33015-3302 Ph: (954) 405-8415 | Supportive Engagement Llc 6760 Charleston St Hollywood FL 33024-1824 Ph: (954) 405-8415 |
| NPI Number | 1255058293 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255058293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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