| The Conscious Pearl | |
|
1825 Nw 167th Street Suite 102 Miami Gardens FL 33056-4838 | |
| (305) 624-7450 | |
| (305) 623-7893 |
| Full Name | The Conscious Pearl |
|---|---|
| Speciality | Counselor |
| Location | 1825 Nw 167th Street, Miami Gardens, Florida |
| Authorized Official Name and Position | Ayanna Facey (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 9547754591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conscious Pearl 1825 Nw 167th Street Suite 102 Miami Gardens FL 33056-4838 Ph: (305) 624-7450 | The Conscious Pearl 1825 Nw 167th Street Suite 102 Miami Gardens FL 33056-4838 Ph: (305) 624-7450 |
| NPI Number | 1780461251 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/09/2023 |
| Medicare PECOS PAC ID | 8729528690 |
|---|---|
| Medicare Enrollment ID | O20240905003728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780461251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ayanna Facey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821411893 PECOS PAC ID: 4082062930 Enrollment ID: I20231202000778 |
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