Sergio Ariel Gonzalez, | |
17780 Nw 67th Ave Apt 1023, Hialeah, FL 33015-5881 | |
(786) 704-3145 | |
Not Available |
Full Name | Sergio Ariel Gonzalez |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 17780 Nw 67th Ave Apt 1023, Hialeah, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003483801 | NPI | - | NPPES |
MH24812 | Other | FL | LICENSE MENTAL HEALTH COUNSELOR |
103K00000X | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH24812 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Sergio Ariel Gonzalez, 17780 Nw 67th Ave Apt 1023, Hialeah, FL 33015-5881 Ph: (786) 704-3145 | Sergio Ariel Gonzalez, 17780 Nw 67th Ave Apt 1023, Hialeah, FL 33015-5881 Ph: (786) 704-3145 |
Juliana Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Rosario Hill, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Aymee Florencia Prieto Rodriguez, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1890 W 56th St Apt 1207, Hialeah, FL 33012 Phone: 754-816-2357 | |
Ms. Ahlicia M. Tramel, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Christine Yvette Arvelo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Mrs. Ana Maria Valderrama-salas, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 W 66th St, Hialeah, FL 33012 Phone: 305-722-7207 |