| 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 | 
|---|---|
| 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: Medicare Enrolled 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  |