Psyched Solutions P.a. | |
18425 Nw 2nd Ave 5th Floor Ph 13 Miami Gardens FL 33169-4534 | |
(954) 257-7473 | |
(877) 478-5333 |
Full Name | Psyched Solutions P.a. |
---|---|
Speciality | Community/behavioral Health |
Location | 18425 Nw 2nd Ave 5th Floor Ph 13, Miami Gardens, Florida |
Authorized Official Name and Position | Angela C Brinson (OWNER) |
Authorized Official Contact | 9542577473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psyched Solutions P.a. 18425 Nw 2nd Ave 5th Floor Ph 13 Miami Gardens FL 33169-4534 Ph: (954) 257-7473 | Psyched Solutions P.a. 18425 Nw 2nd Ave 5th Floor Ph 13 Miami Gardens FL 33169-4534 Ph: (954) 257-7473 |
NPI Number | 1104298934 |
---|---|
Provider Enumeration Date | 10/20/2015 |
Last Update Date | 06/21/2021 |
Certification Date | 06/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104298934 | NPI | - | NPPES |
101720000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | SS914 (Florida) | Secondary |
251S00000X | Community/behavioral Health | SS914 (Florida) | Primary |
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