| Helping Moon Counseling, P.a | |
|
6919 Sw 18th St Ste 201 Boca Raton FL 33433-7010 | |
| (561) 571-1557 | |
| (561) 634-3536 |
| Full Name | Helping Moon Counseling, P.a |
|---|---|
| Speciality | Counselor |
| Location | 6919 Sw 18th St Ste 201, Boca Raton, Florida |
| Authorized Official Name and Position | Luna L Medina-wolf (OWNER) |
| Authorized Official Contact | 9543095353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping Moon Counseling, P.a 6919 Sw 18th St Ste 201 Boca Raton FL 33433-7010 Ph: (561) 571-1557 | Helping Moon Counseling, P.a 6919 Sw 18th St Ste 201 Boca Raton FL 33433-7010 Ph: (561) 571-1557 |
| NPI Number | 1083087688 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 3072942697 |
|---|---|
| Medicare Enrollment ID | O20200402002877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083087688 | NPI | - | NPPES |
| 1020131-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andrea Marie Maisano Del Giacco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851846141 PECOS PAC ID: 5890059075 Enrollment ID: I20180516002202 |
| Provider Name | Pamela Ann Charney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467598201 PECOS PAC ID: 6103215561 Enrollment ID: I20211105001786 |
| Provider Name | Natalie Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426371 PECOS PAC ID: 3577950401 Enrollment ID: I20220425000826 |
| Provider Name | Elizabeth Lachendro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386999209 PECOS PAC ID: 8729436340 Enrollment ID: I20231121000171 |
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