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NPI Code Detail

MEDICARE: MENTAL HEALTH CONSULTANTS OF THE TREASURE COAST

MEDICARE: MENTAL HEALTH CONSULTANTS OF THE TREASURE COAST
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 CounselorMH7196FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11679791149OTHERFLNPI

General Provider Information

NPI Number : 1821475989
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH CONSULTANTS OF THE TREASURE COAST
Provider Business Mailing Address
First Line : 3991 SW GREENWOOD WAY
Second Line : SUITE 3G
City : PALM CITY
State : FL
Zip : 34990-4639
Country : US
Telephone Number : 772-634-1400
Fax Number :
Provider Business Practice Location Address
First Line : 3991 SW GREENWOOD WAY
Second Line : STE. 3G
City : PALM CITY
State : FL
Zip : 34990-4639
Country : US
Telephone Number : 772-634-1400
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. MARIA DEL CARMEN QUINONES-PEREZ
Credential : LMHC
Telephone Number : 772-634-1400
Provider Enumeration Date : 04/28/2015
Last Update Date : 10/21/2015

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Directions to “MENTAL HEALTH CONSULTANTS OF THE TREASURE COAST ” Practice Location

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