| Mental Health Services Corp | |
|
1806 N Flamingo Rd Ste 347 Pembroke Pines FL 33028-1040 | |
| (954) 288-7362 | |
| Not Available |
| Full Name | Mental Health Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1806 N Flamingo Rd Ste 347, Pembroke Pines, Florida |
| Authorized Official Name and Position | Dora M Santos (PRESIDENT) |
| Authorized Official Contact | 9542887362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Services Corp 1620 Nw 143rd Ter Pembroke Pines FL 33028-3002 Ph: (954) 661-3672 | Mental Health Services Corp 1806 N Flamingo Rd Ste 347 Pembroke Pines FL 33028-1040 Ph: (954) 288-7362 |
| NPI Number | 1770930299 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 3678972387 |
|---|---|
| Medicare Enrollment ID | O20210601000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770930299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH4696 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | William Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568427078 PECOS PAC ID: 5496647778 Enrollment ID: I20040330000320 |
| Provider Name | Sirahaydee Pena-alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654678 PECOS PAC ID: 0244640571 Enrollment ID: I20201027003509 |
| Provider Name | Dora M Santos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184633299 PECOS PAC ID: 5092124164 Enrollment ID: I20250224000330 |
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