Grenier Behavioral Health Inc | |
7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 | |
(786) 972-2316 | |
Not Available |
Full Name | Grenier Behavioral Health Inc |
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Speciality | Community/Behavioral Health |
Location | 7392 Nw 35th Ter Ste 301, Miami, Florida |
Authorized Official Name and Position | Ernesto C Lopez (PRESIDENT) |
Authorized Official Contact | 7869722316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grenier Behavioral Health Inc 7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 Ph: (786) 972-2316 | Grenier Behavioral Health Inc 7392 Nw 35th Ter Ste 301 Miami FL 33122-1260 Ph: (786) 972-2316 |
NPI Number | 1336949536 |
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Provider Enumeration Date | 03/17/2025 |
Last Update Date | 03/17/2025 |
Certification Date | 03/17/2025 |
Medicare PECOS PAC ID | 4789194853 |
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Medicare Enrollment ID | O20250609000218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336949536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Ernesto Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821686338 PECOS PAC ID: 1658881727 Enrollment ID: I20250609000569 |
Provider Name | Yaimilyn Alonso Rodriguez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295545671 PECOS PAC ID: 0648780643 Enrollment ID: I20250609003325 |
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