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NPI Code Detail

MEDICARE: ME TIME HEALING LLC

MEDICARE: ME TIME HEALING 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
1101YA0400XAddiction (Substance Use Disorder) CounselorFL
2101YM0800XMental Health CounselorMH1226FL

General Provider Information

NPI Number : 1083143689
Entity Type Code : Organization
Provider Name (Legal Business Name) : ME TIME HEALING LLC
Provider Business Mailing Address
First Line : 842 SW 9TH STREET CIR APT 203
Second Line :
City : BOCA RATON
State : FL
Zip : 33486-5215
Country : US
Telephone Number : 561-866-8794
Fax Number :
Provider Business Practice Location Address
First Line : 1600 S DIXIE HWY STE 508
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-7454
Country : US
Telephone Number : 561-463-2073
Fax Number :
Authorized Official
Title or Position : C0-OWNER
Name : MRS. DANIELE ALEXIS TREVATHAN
Credential : LMHC, QS, MCAP, ICAD
Telephone Number : 561-463-2073
Provider Enumeration Date : 06/07/2017
Last Update Date : 06/07/2017

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Directions to “ME TIME HEALING LLC ” Practice Location

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