Supportive Engagement Llc | |
6760 Charleston St Hollywood FL 33024-1824 | |
(954) 405-8415 | |
Not Available |
Full Name | Supportive Engagement Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 6760 Charleston St, Hollywood, Florida |
Authorized Official Name and Position | Jeymarie Guerra (OWNER / MANAGER) |
Authorized Official Contact | 9544058415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Supportive Engagement Llc 18520 Nw 67th Ave # 148 Miami Gardens FL 33015-3302 Ph: (954) 405-8415 | Supportive Engagement Llc 6760 Charleston St Hollywood FL 33024-1824 Ph: (954) 405-8415 |
NPI Number | 1255058293 |
---|---|
Provider Enumeration Date | 10/20/2022 |
Last Update Date | 10/20/2022 |
Certification Date | 10/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255058293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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