True Life Behavioral Network, Inc | |
13500 N Kendall Dr Ste 129 Miami FL 33186-1528 | |
(786) 628-2530 | |
(305) 646-1829 |
Full Name | True Life Behavioral Network, Inc |
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Speciality | Community/Behavioral Health |
Location | 13500 N Kendall Dr Ste 129, Miami, Florida |
Authorized Official Name and Position | Odeimys Alvarez (OWNER) |
Authorized Official Contact | 7866282530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Life Behavioral Network, Inc 13500 N Kendall Dr Ste 129 Miami FL 33186-1528 Ph: () - | True Life Behavioral Network, Inc 13500 N Kendall Dr Ste 129 Miami FL 33186-1528 Ph: (786) 628-2530 |
NPI Number | 1104605724 |
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Provider Enumeration Date | 09/22/2023 |
Last Update Date | 09/22/2023 |
Certification Date | 09/22/2023 |
Medicare PECOS PAC ID | 3476900721 |
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Medicare Enrollment ID | O20231108003389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104605724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Raul Ulloa Valladares |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922574185 PECOS PAC ID: 6507255536 Enrollment ID: I20211113000065 |
Provider Name | Camilo Sandino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518552215 PECOS PAC ID: 3274980057 Enrollment ID: I20231116000638 |
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