| Practical Life Solutions Llc | |
|
16800 Ne 15th Ave Suite 304 North Miami Beach FL 33162-2968 | |
| (305) 419-6446 | |
| (305) 419-6446 |
| Full Name | Practical Life Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16800 Ne 15th Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Kery Cerne Constantin (CLINICIAN) |
| Authorized Official Contact | 3054166446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Life Solutions Llc 8403 Pines Blvd # 106 Pembroke Pines FL 33024-6609 Ph: (305) 419-6446 | Practical Life Solutions Llc 16800 Ne 15th Ave Suite 304 North Miami Beach FL 33162-2968 Ph: (305) 419-6446 |
| NPI Number | 1467274076 |
|---|---|
| Provider Enumeration Date | 10/26/2024 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Medicare PECOS PAC ID | 6103353479 |
|---|---|
| Medicare Enrollment ID | O20241227000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467274076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kery Cerne Constantin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164055547 PECOS PAC ID: 7911434287 Enrollment ID: I20241227000367 |
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