| Berlyne Tiara Harris, MS | |
|
933 45th St, Mangonia Park, FL 33407-2413 | |
| (561) 841-1024 | |
| Not Available |
| Full Name | Berlyne Tiara Harris |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 933 45th St, Mangonia Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881281590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH22762 (Florida) | Primary |
| Entity Name | Msw Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730718651 PECOS PAC ID: 8426488313 Enrollment ID: O20200416001373 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Berlyne Tiara Harris, MS 7264 W Oakland Park Blvd, Lauderhill, FL 33313-1041 Ph: (954) 703-1165 | Berlyne Tiara Harris, MS 933 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 841-1024 |
Ms. Youlanda Thompson, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 Fax: 561-845-0316 | |
Heidi Escalona Morgia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 | |
Mrs. Coretta Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1772 Lindley St, Mangonia Park, FL 33407 Phone: 561-906-8519 | |
Ms. Christine Marie Vanbasten, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1058 | |
Mr. Charles Smith, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1000 | |
Jeffrey Fletcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 | |
Elaine Althea Nelson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 45th St, Mangonia Park, FL 33407 Phone: 561-383-8000 |