West Kendall Mental Health Network Corp | |
13301 Sw 194th Ave Miami FL 33196-1924 | |
(786) 999-4830 | |
Not Available |
Full Name | West Kendall Mental Health Network Corp |
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Speciality | Social Worker |
Location | 13301 Sw 194th Ave, Miami, Florida |
Authorized Official Name and Position | Wendy Segovia (PRESIDENT) |
Authorized Official Contact | 7869994830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Kendall Mental Health Network Corp 13301 Sw 194th Ave Miami FL 33196-1924 Ph: (786) 999-4830 | West Kendall Mental Health Network Corp 13301 Sw 194th Ave Miami FL 33196-1924 Ph: (786) 999-4830 |
NPI Number | 1902668643 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 01/29/2024 |
Certification Date | 01/28/2024 |
Medicare PECOS PAC ID | 7012352297 |
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Medicare Enrollment ID | O20240227003702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902668643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Wendy E Segovia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609507706 PECOS PAC ID: 2163873308 Enrollment ID: I20240111003338 |
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