MEDICARE: PSYCHSOLUTIONS, INC.

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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1578608881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHSOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	1320 S DIXIE HWY
Second Line	:	SUITE 1140
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2926
Country	:	US
Telephone Number	:	305-668-9000
Fax Number	:	305-662-1788

Provider Business Practice Location Address
First Line	:	1320 S DIXIE HWY
Second Line	:	SUITE 1140
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2926
Country	:	US
Telephone Number	:	305-668-9000
Fax Number	:	305-662-1788

Authorized Official
Title or Position	:	TARGETED CASE MANAGEMENT MANAGER
Name	:	MS. LEONOR CARMEN PADRO
Credential	:	MSW
Telephone Number	:	305-668-9000

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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