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NPI Code Detail

MEDICARE: AVERY MAY MH 19441

MEDICARE:   AVERY  MAY  MH 19441
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
1101YM0800XMental Health Counselor19441FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447926076
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVERY MAY MH 19441
Provider Business Mailing Address
First Line : 255 EVERNIA ST APT 1319
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5689
Country : US
Telephone Number : 860-227-3681
Fax Number :
Provider Business Practice Location Address
First Line : 255 EVERNIA ST APT 1319
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5689
Country : US
Telephone Number : 860-227-3681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2021
Last Update Date : 08/23/2021

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