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 1:2500 QUINCY AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-4766
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:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty