| Amy Small, Llc | |
|
12550 Biscayne Blvd Suite 408 North Miami FL 33181-2541 | |
| (305) 607-4643 | |
| (305) 866-3454 |
| Full Name | Amy Small, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12550 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Amy Michelle Small (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3056074643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Small, Llc 12550 Biscayne Blvd Ste 408 North Miami FL 33181-2544 Ph: (305) 607-4643 | Amy Small, Llc 12550 Biscayne Blvd Suite 408 North Miami FL 33181-2541 Ph: (305) 607-4643 |
| NPI Number | 1982945390 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 8820233265 |
|---|---|
| Medicare Enrollment ID | O20130405000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982945390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9928 (Florida) | Primary |
| Provider Name | Amy M Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295989333 PECOS PAC ID: 6204020464 Enrollment ID: I20101101001472 |
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