Organization · NPI-2

Comprehensive Mental Health Care Services INC.

Psychologist, Clinical · Palm Beach Gardens, FL

NPI number1104450642
StatusActive
Last updated in NPPESMay 16, 2020

Details

NPI
1104450642
Entity type
Organization (NPI-2)
Legal business name
Comprehensive Mental Health Care Services INC.
Organization subpart
No
Enumeration date
Feb 24, 2020
Certification date
May 16, 2020
Last updated
May 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes

Practice location

9121 N Military Trl Ste 207
Palm Beach Gardens, FL 33410-5988

Phone 561-331-2302

Mailing address

9121 N Military Trl Ste 207
Palm Beach Gardens, FL 33410-5988

Phone 561-331-2302

Other practice locations

2101 Vista Pkwy Ste 290
West Palm Beach, FL 33411-2706

Phone 561-331-2302

Authorized official

Jessica Elizabeth Moe
Pt/ Licensed Clinical Psychologist
5613312302

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