| Vida Healing | |
|
5571 N University Dr Ste 101 Coral Springs FL 33067-4653 | |
| (305) 389-5581 | |
| Not Available |
| Full Name | Vida Healing |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5571 N University Dr Ste 101, Coral Springs, Florida |
| Authorized Official Name and Position | Nelida Henderson (OWNER) |
| Authorized Official Contact | 3053895581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Healing 8561 Waterside Ct Parkland FL 33076-2871 Ph: (305) 389-5581 | Vida Healing 5571 N University Dr Ste 101 Coral Springs FL 33067-4653 Ph: (305) 389-5581 |
| NPI Number | 1205333119 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 6406277730 |
|---|---|
| Medicare Enrollment ID | O20240202002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205333119 | NPI | - | NPPES |
| Provider Name | Nelida Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255691101 PECOS PAC ID: 8123449451 Enrollment ID: I20240202002371 |
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