Denisleydis Denis, | |
1972 S Congress Ave, Palm Springs, FL 33406-6674 | |
(786) 525-6428 | |
Not Available |
Full Name | Denisleydis Denis |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1972 S Congress Ave, Palm Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821597014 | NPI | - | NPPES |
104065500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SW14732 (Florida) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
Entity Name | Myrtle Ridge Primary Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619504354 PECOS PAC ID: 7618396144 Enrollment ID: O20201001001641 |
Entity Name | Orion Mental Health Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932699188 PECOS PAC ID: 3678988748 Enrollment ID: O20210223001744 |
Entity Name | Universal Community Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417570094 PECOS PAC ID: 0840694915 Enrollment ID: O20210811002515 |
Entity Name | Sweet Start Community Wellness Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528664786 PECOS PAC ID: 3476951849 Enrollment ID: O20211015000519 |
Entity Name | South Care 4 All Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275127391 PECOS PAC ID: 2466840293 Enrollment ID: O20211028001292 |
Mailing Address | Practice Location Address |
---|---|
Denisleydis Denis, 1972 S Congress Ave, Palm Springs, FL 33406-6674 Ph: (786) 525-6428 | Denisleydis Denis, 1972 S Congress Ave, Palm Springs, FL 33406-6674 Ph: (786) 525-6428 |