| Internal Impact, Llc | |
|
10751 Sw 104th St Miami FL 33176-8164 | |
| (305) 480-5800 | |
| (786) 534-9559 |
| Full Name | Internal Impact, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10751 Sw 104th St, Miami, Florida |
| Authorized Official Name and Position | Mario Garcia (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7862552747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Impact, Llc 10751 Sw 104th St Miami FL 33176-8164 Ph: (305) 480-5800 | Internal Impact, Llc 10751 Sw 104th St Miami FL 33176-8164 Ph: (305) 480-5800 |
| NPI Number | 1770112633 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/03/2020 |
| Certification Date | 04/03/2020 |
| Medicare PECOS PAC ID | 5496274334 |
|---|---|
| Medicare Enrollment ID | O20250523001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770112633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mario Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548296783 PECOS PAC ID: 6305365248 Enrollment ID: I20250523001619 |
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