| Dr Lytal Pichon Pa | |
|
17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 | |
| (786) 571-4570 | |
| Not Available |
| Full Name | Dr Lytal Pichon Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17501 Biscayne Blvd Ste 450, Aventura, Florida |
| Authorized Official Name and Position | Lytal Pichon (OWNER) |
| Authorized Official Contact | 9175350881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lytal Pichon Pa 17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 Ph: () - | Dr Lytal Pichon Pa 17501 Biscayne Blvd Ste 450 Aventura FL 33160-4806 Ph: (786) 571-4570 |
| NPI Number | 1659903953 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659903953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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