| Truth Llc | |
|
20871 Johnson St Ste 105 Pembroke Pines FL 33029-1918 | |
| (954) 843-0273 | |
| Not Available |
| Full Name | Truth Llc |
|---|---|
| Speciality | Counselor |
| Location | 20871 Johnson St Ste 105, Pembroke Pines, Florida |
| Authorized Official Name and Position | Christine Young Baker (CEO) |
| Authorized Official Contact | 9545934097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truth Llc 20871 Johnson St Ste 105 Pembroke Pines FL 33029-1918 Ph: (954) 843-0273 | Truth Llc 20871 Johnson St Ste 105 Pembroke Pines FL 33029-1918 Ph: (954) 843-0273 |
| NPI Number | 1437620408 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 3971918129 |
|---|---|
| Medicare Enrollment ID | O20240606001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437620408 | NPI | - | NPPES |
| 101057900 | Medicaid | FL | |
| 105672500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christine Young Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275913618 PECOS PAC ID: 4880009034 Enrollment ID: I20240606001077 |
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