| Lujan Mental Health Counselor Llc | |
|
14241 Sw 96th Ter Miami FL 33186-7894 | |
| (305) 457-2449 | |
| Not Available |
| Full Name | Lujan Mental Health Counselor Llc |
|---|---|
| Speciality | Counselor |
| Location | 14241 Sw 96th Ter, Miami, Florida |
| Authorized Official Name and Position | Dalgys Perez Lujan (OWNER) |
| Authorized Official Contact | 3054572449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lujan Mental Health Counselor Llc 14241 Sw 96th Ter Miami FL 33186-7894 Ph: (305) 457-2449 | Lujan Mental Health Counselor Llc 14241 Sw 96th Ter Miami FL 33186-7894 Ph: (305) 457-2449 |
| NPI Number | 1508622341 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 2163868340 |
|---|---|
| Medicare Enrollment ID | O20240311000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508622341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dalgys Perez Lujan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184262818 PECOS PAC ID: 3072959253 Enrollment ID: I20240311000916 |
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