| Mind & Heart Connect Llc | |
|
207 Seminole Lakes Dr Royal Palm Beach FL 33411-4208 | |
| (954) 451-2967 | |
| Not Available |
| Full Name | Mind & Heart Connect Llc |
|---|---|
| Speciality | Social Worker |
| Location | 207 Seminole Lakes Dr, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Maitey V Etienne (OWNER) |
| Authorized Official Contact | 9544512967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Heart Connect Llc 7750 Okeechobee Blvd # 4-1200 West Palm Beach FL 33411-2104 Ph: (954) 451-2967 | Mind & Heart Connect Llc 207 Seminole Lakes Dr Royal Palm Beach FL 33411-4208 Ph: (954) 451-2967 |
| NPI Number | 1184403552 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 7416303532 |
|---|---|
| Medicare Enrollment ID | O20231026000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184403552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maitey V Etienne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235832908 PECOS PAC ID: 9335595453 Enrollment ID: I20231026001253 |
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