| Ivy Mental Health Group, Llc | |
|
45 Almeria Ave Ste 130 Coral Gables FL 33134-6118 | |
| (561) 866-8736 | |
| Not Available |
| Full Name | Ivy Mental Health Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 45 Almeria Ave Ste 130, Coral Gables, Florida |
| Authorized Official Name and Position | Ivy M Martinez (OWNER) |
| Authorized Official Contact | 3054007880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Mental Health Group, Llc 45 Almeria Ave Ste 130 Coral Gables FL 33134-6118 Ph: (305) 400-8078 | Ivy Mental Health Group, Llc 45 Almeria Ave Ste 130 Coral Gables FL 33134-6118 Ph: (561) 866-8736 |
| NPI Number | 1740928712 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740928712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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