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NPI Code Detail

MEDICARE: ADVANCED CLIENT CARE LLC

MEDICARE: ADVANCED CLIENT CARE 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245788181
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CLIENT CARE LLC
Provider Business Mailing Address
First Line : 2371 SW 15TH ST APT 99
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-7540
Country : US
Telephone Number : 561-779-0748
Fax Number : 754-227-7804
Provider Business Practice Location Address
First Line : 150 E PALMETTO PARK RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-4827
Country : US
Telephone Number : 561-779-0748
Fax Number : 754-227-7804
Authorized Official
Title or Position : OWNER
Name : CEDRIC BELL
Credential : MHS
Telephone Number : 561-779-0748
Provider Enumeration Date : 09/21/2016
Last Update Date : 08/17/2024

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Directions to “ADVANCED CLIENT CARE LLC ” Practice Location

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