| Grow Yourself Llc | |
|
2640 Lake Shore Dr Unit 709 Riviera Beach FL 33404-4669 | |
| (917) 439-1773 | |
| Not Available |
| Full Name | Grow Yourself Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2640 Lake Shore Dr Unit 709, Riviera Beach, Florida |
| Authorized Official Name and Position | Annalee Shein (PRESIDENT) |
| Authorized Official Contact | 9174391773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Yourself Llc 2640 Lake Shore Dr Unit 709 Riviera Beach FL 33404-4669 Ph: (917) 439-1773 | Grow Yourself Llc 2640 Lake Shore Dr Unit 709 Riviera Beach FL 33404-4669 Ph: (917) 439-1773 |
| NPI Number | 1215444211 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 12/29/2017 |
| Medicare PECOS PAC ID | 9830426758 |
|---|---|
| Medicare Enrollment ID | O20190814003120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215444211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Annalee Shein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346468279 PECOS PAC ID: 3072669902 Enrollment ID: I20190814003216 |
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