| Healing Panda Boca Raton Llc | |
|
2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 | |
| (561) 617-8751 | |
| (561) 423-0711 |
| Full Name | Healing Panda Boca Raton Llc |
|---|---|
| Speciality | Counselor |
| Location | 2201 Nw Corporate Blvd Ste 101, Boca Raton, Florida |
| Authorized Official Name and Position | David Rojas (OWNER) |
| Authorized Official Contact | 3057464573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Panda Boca Raton Llc 2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 Ph: (561) 617-8751 | Healing Panda Boca Raton Llc 2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 Ph: (561) 617-8751 |
| NPI Number | 1053020271 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 6406219815 |
|---|---|
| Medicare Enrollment ID | O20230901001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053020271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cassondra Lee Kelchner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063156065 PECOS PAC ID: 8729437470 Enrollment ID: I20231207000786 |
| Provider Name | Tracy Myeong Blad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871019919 PECOS PAC ID: 1052858768 Enrollment ID: I20240802001649 |
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