| Liset Fiallo, LCSW | |
|
14840 Sw 149th Ave, Miami, FL 33196-2334 | |
| (305) 283-5497 | |
| Not Available |
| Full Name | Liset Fiallo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 14840 Sw 149th Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346789278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW14095 (Florida) | Primary |
| Entity Name | Actual Psych Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790224624 PECOS PAC ID: 2860760154 Enrollment ID: O20170608002540 |
| Entity Name | Mental Autonomy, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982170700 PECOS PAC ID: 1355727256 Enrollment ID: O20220929002756 |
| Entity Name | Medical Research of Miami LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134904741 PECOS PAC ID: 5193177384 Enrollment ID: O20240124000624 |
| Entity Name | Ambar Community Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740092576 PECOS PAC ID: 7618490509 Enrollment ID: O20250401002712 |
| Entity Name | CM Care Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497560403 PECOS PAC ID: 4688187719 Enrollment ID: O20250701003043 |
| Mailing Address | Practice Location Address |
|---|---|
| Liset Fiallo, LCSW 14840 Sw 149th Ave, Miami, FL 33196-2334 Ph: (305) 283-5497 | Liset Fiallo, LCSW 14840 Sw 149th Ave, Miami, FL 33196-2334 Ph: (305) 283-5497 |
Mr. Richard Leigh Barr, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13550 Sw 88th St, Suite 280, Miami, FL 33186 Phone: 305-282-1301 |
Lore Goldstein, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13727 Sw 152 Street, #648, Miami, FL 33177 Phone: 772-237-0804 |
Adia Smith Young, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15715 S Dixie Hwy, Suite 307, Miami, FL 33157 Phone: 786-269-3728 Fax: 786-245-7202 |
Anthony Hightower, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Nw 59th St, Miami, FL 33127 Phone: 305-759-8888 Fax: 305-757-5989 |
Audrey D Mcfarland, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, Ste 201-202, Miami, FL 33122 Phone: 305-597-9494 |
Miss Matilde Zuluaga, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2682 Sw 87th Ave, Miami, FL 33165 Phone: 305-480-5680 |
Miss Jennifer Harrison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Nw 9th Ave, 2416, Miami, FL 33136 Phone: 305-355-8059 Fax: 305-355-8091 |