| Mr Brett Lieberman, | |
|
1562 Se Village Green Dr Ste 5&7, Port Saint Lucie, FL 34952-5100 | |
| (772) 465-4044 | |
| Not Available |
| Full Name | Mr Brett Lieberman |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1562 Se Village Green Dr Ste 5&7, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427364280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT2766 (Florida) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brett Lieberman, 4501 Sw Yamada Dr, Port Saint Lucie, FL 34953-6758 Ph: (772) 708-8173 | Mr Brett Lieberman, 1562 Se Village Green Dr Ste 5&7, Port Saint Lucie, FL 34952-5100 Ph: (772) 465-4044 |
Mrs. Eliz Bruno, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1049 Sw Spataro Ave, Port Saint Lucie, FL 34953 Phone: 860-515-8427 | |
Tina Esther Salerno, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5949 Carlton Rd, Port Saint Lucie, FL 34987 Phone: 561-301-5251 | |
Latasha Robinson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Sw Bethany Dr Ste 103, Port Saint Lucie, FL 34986 Phone: 772-301-1354 | |
Miss Raquel Rojas, RMFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 181 Sw Palm Dr Apt 104, Port Saint Lucie, FL 34986 Phone: 818-203-9180 | |
Meghan Shiskin, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 314 Nw Bethany Dr, Port Saint Lucie, FL 34986 Phone: 954-775-4260 |