Kintsugi Therapy Services | |
1205 Oxford Way Cocoa FL 32922-6445 | |
(612) 279-8677 | |
Not Available |
Full Name | Kintsugi Therapy Services |
---|---|
Speciality | Social Worker - Clinical |
Location | 1205 Oxford Way, Cocoa, Florida |
Authorized Official Name and Position | Migdalia Dominguez (FOUNDER) |
Authorized Official Contact | 6123100424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kintsugi Therapy Services 1205 Oxford Way Cocoa FL 32922-6445 Ph: (612) 310-0424 | Kintsugi Therapy Services 1205 Oxford Way Cocoa FL 32922-6445 Ph: (612) 279-8677 |
NPI Number | 1083198741 |
---|---|
Provider Enumeration Date | 09/19/2018 |
Last Update Date | 09/01/2023 |
Certification Date | 09/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083198741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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