| Valcourt Behavioral Health | |
|
6600 Cow Pen Rd Ste 250 Miami Lakes FL 33014-7622 | |
| (305) 764-0194 | |
| Not Available |
| Full Name | Valcourt Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6600 Cow Pen Rd Ste 250, Miami Lakes, Florida |
| Authorized Official Name and Position | Jorge E Valcourt (OWNER) |
| Authorized Official Contact | 3057640194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valcourt Behavioral Health 6600 Cow Pen Rd Ste 250 Miami Lakes FL 33014-7622 Ph: (305) 764-0194 | Valcourt Behavioral Health 6600 Cow Pen Rd Ste 250 Miami Lakes FL 33014-7622 Ph: (305) 764-0194 |
| NPI Number | 1548591928 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 4284778978 |
|---|---|
| Medicare Enrollment ID | O20100218000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548591928 | NPI | - | NPPES |
| 104359100 | Medicaid | FL |
| Provider Name | Jose C Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669515730 PECOS PAC ID: 8325959117 Enrollment ID: I20031113000680 |
| Provider Name | Guido Nodal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427064435 PECOS PAC ID: 7911999404 Enrollment ID: I20040402000684 |
| Provider Name | Maria L Valcourt-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124216858 PECOS PAC ID: 6103908736 Enrollment ID: I20080204000634 |
| Provider Name | Ivon Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043724685 PECOS PAC ID: 4587925748 Enrollment ID: I20180302002149 |
| Provider Name | Diana M Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119402 PECOS PAC ID: 7214279066 Enrollment ID: I20190429000560 |
| Provider Name | Adara C Abdalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295321412 PECOS PAC ID: 0749675262 Enrollment ID: I20220321001261 |
| Provider Name | Daniel Santos Frutos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952064115 PECOS PAC ID: 4789061904 Enrollment ID: I20220509002596 |
| Provider Name | Miguel Danois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982315776 PECOS PAC ID: 0547631061 Enrollment ID: I20230120000694 |
| Provider Name | Edgar Alfonso Pena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700070802 PECOS PAC ID: 2668819251 Enrollment ID: I20240319000498 |
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