MEDICARE: TRUE CARE MENTAL HEALTH 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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1982319836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE CARE MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	1968 S CONGRESS AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6674
Country	:	US
Telephone Number	:	561-855-6094
Fax Number	:	561-318-7012

Provider Business Practice Location Address
First Line	:	1968 S CONGRESS AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6674
Country	:	US
Telephone Number	:	561-855-6094
Fax Number	:	561-318-7012

Authorized Official
Title or Position	:	OWNER
Name	:	HECTOR JAVIER MARCHENA
Credential	:
Telephone Number	:	561-410-5433

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	01/16/2023

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