| Today Paves Tomorrow Llc | |
|
2517 Vista Rise Apt D Tallahassee FL 32304-1276 | |
| (850) 305-1894 | |
| Not Available |
| Full Name | Today Paves Tomorrow Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2517 Vista Rise Apt D, Tallahassee, Florida |
| Authorized Official Name and Position | Mariah Lewis (OWNER) |
| Authorized Official Contact | 8503051894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Today Paves Tomorrow Llc 66 W Flagler St Ste 900 # 8384 Miami FL 33130-1276 Ph: (850) 305-1894 | Today Paves Tomorrow Llc 2517 Vista Rise Apt D Tallahassee FL 32304-1276 Ph: (850) 305-1894 |
| NPI Number | 1609449909 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 2668861873 |
|---|---|
| Medicare Enrollment ID | O20211109002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609449909 | NPI | - | NPPES |
| 1437534237 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mariah Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437534237 PECOS PAC ID: 5092104760 Enrollment ID: I20211118001170 |
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