| Mental Wellness By Camila Llc | |
|
79 Sw 12th St Apt 1702 Miami FL 33130-5204 | |
| (310) 795-2528 | |
| Not Available |
| Full Name | Mental Wellness By Camila Llc |
|---|---|
| Speciality | Social Worker |
| Location | 79 Sw 12th St Apt 1702, Miami, Florida |
| Authorized Official Name and Position | Camila R Quintero (MANAGER) |
| Authorized Official Contact | 3107952528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness By Camila Llc 79 Sw 12th St Apt 1702 Miami FL 33130-5204 Ph: (310) 795-2528 | Mental Wellness By Camila Llc 79 Sw 12th St Apt 1702 Miami FL 33130-5204 Ph: (310) 795-2528 |
| NPI Number | 1609440387 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Medicare PECOS PAC ID | 7214339282 |
|---|---|
| Medicare Enrollment ID | O20210713003348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609440387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Camila R Quintero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336739366 PECOS PAC ID: 1052713872 Enrollment ID: I20210715001836 |
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