| Stellar Health Services, Llc | |
|
9900 Stirling Rd Ste 103 Hollywood FL 33024-8073 | |
| (954) 300-2921 | |
| Not Available |
| Full Name | Stellar Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9900 Stirling Rd Ste 103, Hollywood, Florida |
| Authorized Official Name and Position | Yvette L Barnes (PRESIDENT) |
| Authorized Official Contact | 9543002921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Health Services, Llc 9900 Stirling Rd Ste 103 Hollywood FL 33024-8073 Ph: (954) 300-2921 | Stellar Health Services, Llc 9900 Stirling Rd Ste 103 Hollywood FL 33024-8073 Ph: (954) 300-2921 |
| NPI Number | 1568025328 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7113256801 |
|---|---|
| Medicare Enrollment ID | O20190905001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568025328 | NPI | - | NPPES |
| 102643400 | Medicaid | FL | |
| 108455600 | Medicaid | FL |
| Provider Name | Yvette Niebla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558502369 PECOS PAC ID: 0345569471 Enrollment ID: I20150512000819 |
| Provider Name | Maylin Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609390426 PECOS PAC ID: 7012360142 Enrollment ID: I20240125000822 |
| Provider Name | Dolores Cristina De La Cuesta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184665481 PECOS PAC ID: 9537505813 Enrollment ID: I20240308001282 |
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