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Solid Rock Foundation Healing Help

NPI 1205689114ActiveOrganization· Psychologist· Doral, FL

Psychologist in Doral, Florida, registered in NPPES in April 2024. The authorized official on file is Andrea De Aguayo, President/ Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1205689114
StatusActive
Entity typeOrganization
NPI issuedApr 9, 2024
Last updated in NPPESJun 3, 2026
Certified by providerJun 3, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——
Counselor, Addiction (Substance Use Disorder)101YA0400X——
Counselor, Mental Health101YM0800X——
Psychologist, Addiction (Substance Use Disorder)103TA0400X——
Psychologist, Adult Development & Aging103TA0700X——
Psychologist, Cognitive & Behavioral103TB0200X——
Psychologist, Clinical103TC0700X——
Psychologist, Counseling103TC1900X——
Psychologist, Clinical Child & Adolescent103TC2200X——
Psychologist, Family103TF0000X——
Psychologist, Intellectual & Developmental Disabilities103TM1800X——
Psychologist, Group Psychotherapy103TP2701X——
Social Worker104100000X——
Marriage & Family Therapist106H00000X——
Clinic/Center261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

Other Psychologist providers in Doral

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