| Dr Carlos Eduardo Plasencia, PHD LMHC | |
|
10406 Taft St, Pembroke Pines, FL 33026-2819 | |
| (954) 436-3880 | |
| (954) 436-3881 |
| Full Name | Dr Carlos Eduardo Plasencia |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 10406 Taft St, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588645436 | NPI | - | NPPES |
| 101123800 | Medicaid | FL | |
| 000108400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH0002618 (Florida) | Primary |
| Entity Name | Plasencia & Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558411496 PECOS PAC ID: 5597102418 Enrollment ID: O20240327000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Eduardo Plasencia, PHD LMHC Po Box 277535, Miramar, FL 33027-7535 Ph: (954) 436-3880 | Dr Carlos Eduardo Plasencia, PHD LMHC 10406 Taft St, Pembroke Pines, FL 33026-2819 Ph: (954) 436-3880 |
Ms. Susi Blitman, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2010 Nw 150th Ave, Pembroke Pines, FL 33028 Phone: 954-431-9838 Fax: 954-779-2316 | |
Denise Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 N Hiatus Rd Ste 140161, Pembroke Pines, FL 33026 Phone: 954-333-8787 | |
Vanessa Matute, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 N Hiatus Rd, Pembroke Pines, FL 33026 Phone: 954-333-8787 | |
Dontraey Oliver-johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1152 N University Dr, Pembroke Pines, FL 33024 Phone: 954-639-7345 | |
Dr. Eugenio Figueroa, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1984 Nw 179th Ave, Pembroke Pines, FL 33029 Phone: 305-333-0910 | |
Raychelle Fraser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1152 N University Dr, Pembroke Pines, FL 33024 Phone: 195-463-9734 | |
Mrs. Judith Roberts, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10031 Pines Blvd, Suite 248, Pembroke Pines, FL 33024 Phone: 305-308-6145 Fax: 954-392-9958 |