Phases Of Healing, Counseling And Therapy Llc | |
290 Paseo Reyes Dr Saint Augustine FL 32095-8462 | |
(904) 347-0843 | |
Not Available |
Full Name | Phases Of Healing, Counseling And Therapy Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 290 Paseo Reyes Dr, Saint Augustine, Florida |
Authorized Official Name and Position | Angela Marie Fusco (MANAGER) |
Authorized Official Contact | 9043470843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phases Of Healing, Counseling And Therapy Llc 4435 Coastal Hwy Saint Augustine FL 32084-1304 Ph: (904) 347-0843 | Phases Of Healing, Counseling And Therapy Llc 290 Paseo Reyes Dr Saint Augustine FL 32095-8462 Ph: (904) 347-0843 |
NPI Number | 1467003079 |
---|---|
Provider Enumeration Date | 09/25/2019 |
Last Update Date | 06/02/2021 |
Certification Date | 06/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467003079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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