| Tal Community Mental Health Center Llc | |
|
12781 Miramar Parkway Suite 203 Miramar FL 33027 | |
| (786) 648-3588 | |
| (786) 698-7677 |
| Full Name | Tal Community Mental Health Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12781 Miramar Parkway, Miramar, Florida |
| Authorized Official Name and Position | Gaston I Bogomolni (OWNER-CFO) |
| Authorized Official Contact | 7866483588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tal Community Mental Health Center Llc 12781 Miramar Parkway Suite 203 Miramar FL 33027 Ph: (786) 648-3588 | Tal Community Mental Health Center Llc 12781 Miramar Parkway Suite 203 Miramar FL 33027 Ph: (786) 648-3588 |
| NPI Number | 1235715236 |
|---|---|
| Provider Enumeration Date | 03/20/2021 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 7012311657 |
|---|---|
| Medicare Enrollment ID | O20210804002694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235715236 | NPI | - | NPPES |
| 109921400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | David H Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396133534 PECOS PAC ID: 0648573618 Enrollment ID: I20160125002837 |
| Provider Name | Patricia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598398547 PECOS PAC ID: 5890105134 Enrollment ID: I20201028000329 |
| Provider Name | Pablo Lorenzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740685767 PECOS PAC ID: 1557760493 Enrollment ID: I20210526002978 |
| Provider Name | Rosa Diaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043231681 PECOS PAC ID: 4183063829 Enrollment ID: I20240415002605 |
Whole Again Institute For Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14601 Hotel Road, Suite 101b, Miramar, FL 33027 Phone: 954-933-8299 | |
Blooming Behavioral Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 S State Road 7 Ste 344, Miramar, FL 33023 Phone: 754-799-3780 Fax: 754-547-6353 | |
All Care Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14359 Miramar Pkwy # 420, Miramar, FL 33027 Phone: 786-426-6137 | |
Kids Behavioral Network, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5020 Sw 124th Ave # 103, Miramar, FL 33027 Phone: 786-333-9275 | |
American Behavioral Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4320 Sw 148th Ter, Miramar, FL 33027 Phone: 785-223-6015 Fax: 833-919-3533 | |
L'arche De Noe Behavioral Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16281 Sw 23rd St, Miramar, FL 33027 Phone: 754-244-8893 | |
Behavioral Cusp Specialists Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Sw 148th Ave Ste 110-141, Miramar, FL 33027 Phone: 954-743-7919 |