Life Symphony Therapy, Llc | |
155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 | |
(904) 373-8516 | |
Not Available |
Full Name | Life Symphony Therapy, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 155 Bartram Market Dr Ste 135-169, Saint Johns, Florida |
Authorized Official Name and Position | Fonda E Mosal (OWNER) |
Authorized Official Contact | 9043738516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Symphony Therapy, Llc 155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 Ph: (904) 373-8516 | Life Symphony Therapy, Llc 155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 Ph: (904) 373-8516 |
NPI Number | 1871238832 |
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Provider Enumeration Date | 05/03/2022 |
Last Update Date | 05/03/2022 |
Certification Date | 05/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871238832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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