| Mind Body Therapeutics Llc | |
|
8461 Lake Worth Rd Bldg 1 Lake Worth FL 33467-2474 | |
| (772) 486-4417 | |
| Not Available |
| Full Name | Mind Body Therapeutics Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8461 Lake Worth Rd Bldg 1, Lake Worth, Florida |
| Authorized Official Name and Position | Kimberly Carrion Alicea (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7724864417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Therapeutics Llc 5156 Nw 26th Cir Boca Raton FL 33496-2210 Ph: (561) 866-0217 | Mind Body Therapeutics Llc 8461 Lake Worth Rd Bldg 1 Lake Worth FL 33467-2474 Ph: (772) 486-4417 |
| NPI Number | 1093336505 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 04/16/2026 |
| Certification Date | 04/16/2026 |
| Medicare PECOS PAC ID | 2769803485 |
|---|---|
| Medicare Enrollment ID | O20200605000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093336505 | NPI | - | NPPES |
| Provider Name | Nancy Polites |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902945702 PECOS PAC ID: 5496669673 Enrollment ID: I20100405000181 |
| Provider Name | Andrea L Coverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255759338 PECOS PAC ID: 4688928120 Enrollment ID: I20181119002880 |
| Provider Name | Jane B Statlander-slote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457973919 PECOS PAC ID: 4587085204 Enrollment ID: I20200605000592 |
| Provider Name | Alisa R Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851981666 PECOS PAC ID: 8527476639 Enrollment ID: I20210408002494 |
| Provider Name | Tomas Phd Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194412007 PECOS PAC ID: 6800244104 Enrollment ID: I20231128000310 |
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