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NPI Code Detail

MEDICARE: MS. SUSSI F. PEREZ M.S.,M.ED. LMHC

MEDICARE:  MS. SUSSI F. PEREZ  M.S.,M.ED. LMHC
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 CounselorMHC00499RI
2101YM0800XMental Health CounselorMH13781FL

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 : 1912203571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSSI F. PEREZ M.S.,M.ED. LMHC
Provider Business Mailing Address
First Line : 1894 SE LAFAYETTE ST
Second Line :
City : STUART
State : FL
Zip : 34997-5850
Country : US
Telephone Number : 401-862-7292
Fax Number :
Provider Business Practice Location Address
First Line : 3307 NORTHLAKE BLVD STE B104
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33403-1703
Country : US
Telephone Number : 401-862-7292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2011
Last Update Date : 11/18/2022

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