| Candice Clark, MED, LMHC | |
|
15055 Nw 27th Ave, Opa Locka, FL 33054-3365 | |
| (786) 466-2800 | |
| Not Available |
| Full Name | Candice Clark |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 15055 Nw 27th Ave, Opa Locka, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033001631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH25982 (Florida) | Primary |
| Entity Name | Public Health Trust of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043395460 PECOS PAC ID: 8628981925 Enrollment ID: O20031117000037 |
| Entity Name | Public Health Trust of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063417483 PECOS PAC ID: 8628981925 Enrollment ID: O20031217000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Clark, MED, LMHC 12708 Sw 21st St, Miramar, FL 33027-2602 Ph: (513) 290-2205 | Candice Clark, MED, LMHC 15055 Nw 27th Ave, Opa Locka, FL 33054-3365 Ph: (786) 466-2800 |
Ms. Reeshemah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Nw 167th St, Suite #102, Opa Locka, FL 33056 Phone: 305-624-7450 Fax: 305-623-7893 |
Reginald Thompson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4469 Nw 167th St, Opa Locka, FL 33055 Phone: 305-621-1455 Fax: 305-621-5508 |
Carlos Andres Aguilar, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4469 Nw 167th St, Opa Locka, FL 33055 Phone: 305-621-1455 Fax: 305-621-5508 |
Remy L. Landa, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4469 Nw 167th St, Opa Locka, FL 33055 Phone: 305-621-1455 Fax: 305-621-5508 |
Mario C. Valdes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4469 Nw 167th St, Opa Locka, FL 33055 Phone: 305-621-1455 Fax: 305-621-5508 |
Ariadna Castellano, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4469 Nw 167th St, Opa Locka, FL 33055 Phone: 305-621-1455 Fax: 305-621-5508 |
Inez Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2015 Lincoln Ave Apt 4, Opa Locka, FL 33054 Phone: 786-400-7576 |