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Organization

EAST MENTAL HEALTH GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNICE LOPEZ (ADMINISTRATOR)
(787) 378-9001
Entity
Organization

Contact information

Practice address
URB. VILLAS DEL CARMEN, AVE LUIS MUNOZ MARIN #121, CAGUAS, PR 00725
(787) 635-9207
(787) 635-9207
Mailing address
P.O. BOX 9118, HUMACAO, PR 00792
(787) 635-9207

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
102L00000X
Psychoanalyst
103T00000X
Psychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TP0814X
Psychoanalysis Psychologist
103TP2701X
Group Psychotherapy Psychologist
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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