| Energy Community Mental Health Clinic Llc | |
|
4995 Nw 72nd Ave Miami FL 33166-5643 | |
| (786) 360-3584 | |
| (786) 360-3867 |
| Full Name | Energy Community Mental Health Clinic Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4995 Nw 72nd Ave, Miami, Florida |
| Authorized Official Name and Position | Ernesto Rodriguez Tanquero (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7865200140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Energy Community Mental Health Clinic Llc 4995 Nw 72nd Ave Miami FL 33166-5643 Ph: (786) 360-3584 | Energy Community Mental Health Clinic Llc 4995 Nw 72nd Ave Miami FL 33166-5643 Ph: (786) 360-3584 |
| NPI Number | 1851051262 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851051262 | NPI | - | NPPES |
| 112486800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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