Provider Demographics
NPI: | 1952024390 |
---|---|
Name: | ACCESS COMPREHENSIVE AND WELNESS CENTER, LLC |
Entity type: | Organization |
Organization Name: | ACCESS COMPREHENSIVE AND WELNESS CENTER, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | RAHONIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PERSAUD EVANS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | APRN |
Authorized Official - Phone: | 561-402-2589 |
Mailing Address - Street 1: | 3580 S OCEAN BLVD APT 2A |
Mailing Address - Street 2: | |
Mailing Address - City: | PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33480-5731 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-402-2589 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5507 S CONGRESS AVE STE 150 |
Practice Address - Street 2: | |
Practice Address - City: | ATLANTIS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33462-1139 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-402-2589 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-09-21 |
Last Update Date: | 2025-06-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Single Specialty |