Synchronized Counseling Group | |
602 Michael Ave Lehigh Acres FL 33936-1046 | |
(321) 800-8611 | |
Not Available |
Full Name | Synchronized Counseling Group |
---|---|
Speciality | Counselor |
Location | 602 Michael Ave, Lehigh Acres, Florida |
Authorized Official Name and Position | Ismary Lopez (OWNER) |
Authorized Official Contact | 3218008611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Synchronized Counseling Group 602 Michael Ave Lehigh Acres FL 33936-1046 Ph: (321) 800-8611 | Synchronized Counseling Group 602 Michael Ave Lehigh Acres FL 33936-1046 Ph: (321) 800-8611 |
NPI Number | 1194405951 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 07/18/2023 |
Certification Date | 07/18/2023 |
Medicare PECOS PAC ID | 2466802616 |
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Medicare Enrollment ID | O20231229001455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194405951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Ismary Lopez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306364286 PECOS PAC ID: 3375993520 Enrollment ID: I20231229001542 |
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