Enlightened Mind Counseling Llc - Medicare Mental Health Clinic in Plantation, FL

Enlightened Mind Counseling Llc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Plantation, Florida. The current practice location for Enlightened Mind Counseling Llc is 150 S Pine Island Rd, Plantation, Florida. For appointments, you can reach them via phone at (954) 228-0856. The mailing address for Enlightened Mind Counseling Llc is 1440 N Park Dr, Weston, Florida and phone number is (954) 228-0856.

Enlightened Mind Counseling Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831862523. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 228-0856.

Contact Information

Enlightened Mind Counseling Llc
150 S Pine Island Rd
Plantation
FL 33324-2669
(954) 228-0856
(855) 794-0961

Mental Health Clinic Profile

Full NameEnlightened Mind Counseling Llc
SpecialityCounselor
Location150 S Pine Island Rd, Plantation, Florida
Authorized Official Name and PositionAmanda Gurgel (CEO)
Authorized Official Contact9542280856
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enlightened Mind Counseling Llc
1440 N Park Dr
Weston
FL 33326-3207

Ph: (954) 228-0856
Enlightened Mind Counseling Llc
150 S Pine Island Rd
Plantation
FL 33324-2669

Ph: (954) 228-0856

NPI Details:

NPI Number1831862523
Provider Enumeration Date07/28/2021
Last Update Date12/28/2022
Certification Date12/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7416328158
Medicare Enrollment IDO20230117002539

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Medical Identifiers

Medical identifiers for Enlightened Mind Counseling Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831862523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Enlightened Mind Counseling Llc acts as a billing entity for following providers:
Provider NameJaelah Enoc Mendez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952889974
PECOS PAC ID: 4880932540
Enrollment ID: I20190205003127

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