Therapy Center Of Brevard, Llc - Medicare Mental Health Clinic in Indialantic, FL

Therapy Center Of Brevard, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Indialantic, Florida. The current practice location for Therapy Center Of Brevard, Llc is 380 Newport Dr, Indialantic, Florida. For appointments, you can reach them via phone at (321) 722-9986. The mailing address for Therapy Center Of Brevard, Llc is 870 N Miramar Ave # 345, Indialantic, Florida and phone number is (321) 722-9986.

Therapy Center Of Brevard, Llc is licensed to practice in Florida (license number PY8406). The clinic also participates in the medicare program and its NPI number is 1659658698. 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 (321) 722-9986.

Contact Information

Therapy Center Of Brevard, Llc
380 Newport Dr
Indialantic
FL 32903-4021
(321) 722-9986
Not Available

Mental Health Clinic Profile

Full NameTherapy Center Of Brevard, Llc
SpecialityPsychologist
Location380 Newport Dr, Indialantic, Florida
Authorized Official Name and PositionHaya Soya (LICENSED PSYCHOLOGIST)
Authorized Official Contact3213287692
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Therapy Center Of Brevard, Llc
870 N Miramar Ave # 345
Indialantic
FL 32903-3054

Ph: (321) 722-9986
Therapy Center Of Brevard, Llc
380 Newport Dr
Indialantic
FL 32903-4021

Ph: (321) 722-9986

NPI Details:

NPI Number1659658698
Provider Enumeration Date11/04/2011
Last Update Date08/03/2021
Certification Date08/03/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2163697822
Medicare Enrollment IDO20111207000411

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Medical Identifiers

Medical identifiers for Therapy Center Of Brevard, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659658698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY8406 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Therapy Center Of Brevard, Llc acts as a billing entity for following providers:
Provider NameHaya Soya
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437433828
PECOS PAC ID: 5799950226
Enrollment ID: I20111214000397

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