Individual
MS. ALICE BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
18253 NW 20TH ST, PEMBROKE PINES, FL 33029-3706
(954) 435-8496
(954) 435-5263
Mailing address
18253 NW 20TH ST, PEMBROKE PINES, FL 33029-3706
(954) 435-8496
(954) 435-5263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH1717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098995
VALUE OPTIONS FLORIDA
FL
01
—
17645408
UNITED HEALTHCARE
FL
01
—
Z2532
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/26/2006
Last updated
07/08/2007
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