| Loves Community Mental Health Inc | |
|
801 Nw 37th Ave Ste 771 Miami FL 33125-3887 | |
| (305) 400-8951 | |
| (786) 615-2197 |
| Full Name | Loves Community Mental Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Nw 37th Ave Ste 771, Miami, Florida |
| Authorized Official Name and Position | Reinaldo Gomez (VICE PRESIDENT/OWNER) |
| Authorized Official Contact | 3054008951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loves Community Mental Health Inc 801 Nw 37th Ave Ste 771 Miami FL 33125-3887 Ph: (305) 400-8951 | Loves Community Mental Health Inc 801 Nw 37th Ave Ste 771 Miami FL 33125-3887 Ph: (305) 400-8951 |
| NPI Number | 1437759032 |
|---|---|
| Provider Enumeration Date | 11/01/2020 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 3870997679 |
|---|---|
| Medicare Enrollment ID | O20210802000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437759032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20040205000130 |
| Provider Name | Oded Shechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952419145 PECOS PAC ID: 9032273297 Enrollment ID: I20090203000248 |
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