| True Life Community Behavioral Center, Inc. | |
|
5600 Sw 135th Ave Suite 207 Miami FL 33183-5182 | |
| (786) 216-9484 | |
| Not Available |
| Full Name | True Life Community Behavioral Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5600 Sw 135th Ave, Miami, Florida |
| Authorized Official Name and Position | Idalmis Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7862169484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Life Community Behavioral Center, Inc. 5600 Sw 135th Ave Suite 207 Miami FL 33183-5182 Ph: (786) 216-9484 | True Life Community Behavioral Center, Inc. 5600 Sw 135th Ave Suite 207 Miami FL 33183-5182 Ph: (786) 216-9484 |
| NPI Number | 1558818971 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 7315336559 |
|---|---|
| Medicare Enrollment ID | O20211110000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558818971 | NPI | - | NPPES |
| 112129000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ammy Salas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609269703 PECOS PAC ID: 5092089714 Enrollment ID: I20170919003833 |
| Provider Name | Natalia Serna Betancourt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083371223 PECOS PAC ID: 7113319765 Enrollment ID: I20220112000372 |
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