| Blue Sky Therapeutic Services, Llc | |
|
6050 Shady Ln Tallahassee FL 32309-8960 | |
| (850) 320-2071 | |
| Not Available |
| Full Name | Blue Sky Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6050 Shady Ln, Tallahassee, Florida |
| Authorized Official Name and Position | Dillon Garrett Welliver (OWNER/PRIVATE PRACTICE) |
| Authorized Official Contact | 8503202071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Therapeutic Services, Llc 6050 Shady Ln Tallahassee FL 32309-8960 Ph: (850) 320-2071 | Blue Sky Therapeutic Services, Llc 6050 Shady Ln Tallahassee FL 32309-8960 Ph: (850) 320-2071 |
| NPI Number | 1376178756 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376178756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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