| The Mental Health Sistas | |
|
300 S Pine Island Rd Ste 251 Plantation FL 33324-2633 | |
| (954) 947-1343 | |
| Not Available |
| Full Name | The Mental Health Sistas |
|---|---|
| Speciality | Psychologist |
| Location | 300 S Pine Island Rd Ste 251, Plantation, Florida |
| Authorized Official Name and Position | Dyona Augustin (MEMBER MANAGER) |
| Authorized Official Contact | 9548060374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Health Sistas 4715 Nw 6th St Plantation FL 33317-1401 Ph: () - | The Mental Health Sistas 300 S Pine Island Rd Ste 251 Plantation FL 33324-2633 Ph: (954) 947-1343 |
| NPI Number | 1558969881 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Medicare PECOS PAC ID | 9638581440 |
|---|---|
| Medicare Enrollment ID | O20201221001873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558969881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dyona Augustin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699253971 PECOS PAC ID: 1456696921 Enrollment ID: I20190103000595 |
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