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NPI Code Detail

MEDICARE: ABCS FOR SUCCESS, LLC

MEDICARE: ABCS FOR SUCCESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
21041C0700XClinical Social WorkerSW 7519FL
3251S00000XCommunity/Behavioral Health AgencyFL

General Provider Information

NPI Number : 1043537160
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABCS FOR SUCCESS, LLC
Provider Business Mailing Address
First Line : 1550 MADRUGA AVE STE 509
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-3048
Country : US
Telephone Number : 786-536-9714
Fax Number : 786-536-9833
Provider Business Practice Location Address
First Line : 1550 MADRUGA AVE STE 509
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-3048
Country : US
Telephone Number : 786-536-9714
Fax Number : 786-536-9833
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MS. SORAYA MELEGI
Credential : LCSW
Telephone Number : 786-536-9714
Provider Enumeration Date : 04/29/2010
Last Update Date : 02/28/2023

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Directions to “ABCS FOR SUCCESS, LLC ” Practice Location

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