| Breakthrough Care And Resource Center, Inc. | |
|
7971 Riviera Blvd Ste 316 Miramar FL 33023-6448 | |
| (305) 570-4064 | |
| (888) 284-6382 |
| Full Name | Breakthrough Care And Resource Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 7971 Riviera Blvd Ste 316, Miramar, Florida |
| Authorized Official Name and Position | Delphine Gervais (CEO) |
| Authorized Official Contact | 3054942798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Care And Resource Center, Inc. 19821 Nw 2nd Ave Ste 157 Miami Gardens FL 33169-3341 Ph: (305) 494-2798 | Breakthrough Care And Resource Center, Inc. 7971 Riviera Blvd Ste 316 Miramar FL 33023-6448 Ph: (305) 570-4064 |
| NPI Number | 1285177055 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 5799133989 |
|---|---|
| Medicare Enrollment ID | O20231129000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285177055 | NPI | - | NPPES |
| 014020500 | Medicaid | FL |
| Provider Name | Delpine Gervais |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721456 PECOS PAC ID: 7517222136 Enrollment ID: I20180601001583 |
| Provider Name | Stacey Leah Pacouloute |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841773033 PECOS PAC ID: 9537510540 Enrollment ID: I20240103004004 |
| Provider Name | Vanouche Gervais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922517739 PECOS PAC ID: 4183075138 Enrollment ID: I20240104000557 |
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