| Motivating Lives Mental Health Services Llc | |
|
10300 Sw 72nd St Ste 414 Miami FL 33173-3013 | |
| (786) 203-5379 | |
| Not Available |
| Full Name | Motivating Lives Mental Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10300 Sw 72nd St Ste 414, Miami, Florida |
| Authorized Official Name and Position | Jonachy Prieto (PRESIDENT) |
| Authorized Official Contact | 7862035379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Motivating Lives Mental Health Services Llc 27312 Sw 138th Path Homestead FL 33032-7797 Ph: (786) 203-5379 | Motivating Lives Mental Health Services Llc 10300 Sw 72nd St Ste 414 Miami FL 33173-3013 Ph: (786) 203-5379 |
| NPI Number | 1750137071 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 07/20/2024 |
| Certification Date | 07/20/2024 |
| Medicare PECOS PAC ID | 4688118268 |
|---|---|
| Medicare Enrollment ID | O20240708001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750137071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ailyn Rodriguez Cambas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669878112 PECOS PAC ID: 7416305420 Enrollment ID: I20231201001588 |
| Provider Name | Iraida Pozo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972918795 PECOS PAC ID: 4789034869 Enrollment ID: I20240102002771 |
| Provider Name | Mary L Kerwin |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1003490814 PECOS PAC ID: 4385183896 Enrollment ID: I20240828003712 |
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