| Mental Relief Services Llc | |
|
26027 S Dixie Hwy Naranja FL 33032-6613 | |
| (786) 710-1128 | |
| Not Available |
| Full Name | Mental Relief Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 26027 S Dixie Hwy, Naranja, Florida |
| Authorized Official Name and Position | Leonardo Ponce Luna (OWNER) |
| Authorized Official Contact | 7867101128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Relief Services Llc 26027 S Dixie Hwy Naranja FL 33032-6613 Ph: (786) 710-1128 | Mental Relief Services Llc 26027 S Dixie Hwy Naranja FL 33032-6613 Ph: (786) 710-1128 |
| NPI Number | 1356106553 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 5597208140 |
|---|---|
| Medicare Enrollment ID | O20240624003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356106553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Frank A Baez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821335209 PECOS PAC ID: 4880972470 Enrollment ID: I20161102001972 |
| Provider Name | Mileisy Gonzalez Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407385800 PECOS PAC ID: 4981140456 Enrollment ID: I20240719002334 |
| Provider Name | Virginia Baez Gaddis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689270944 PECOS PAC ID: 9436695517 Enrollment ID: I20240725000446 |
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