Resiliency Well Llc | |
4519 Woodbine Rd Pace FL 32571-8706 | |
(850) 778-3747 | |
Not Available |
Full Name | Resiliency Well Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 4519 Woodbine Rd, Pace, Florida |
Authorized Official Name and Position | Jenna Vaughn (THERAPIST/ OWNER) |
Authorized Official Contact | 8507783747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Resiliency Well Llc 4519 Woodbine Rd Pace FL 32571-8706 Ph: (850) 778-3747 | Resiliency Well Llc 4519 Woodbine Rd Pace FL 32571-8706 Ph: (850) 778-3747 |
NPI Number | 1700596863 |
---|---|
Provider Enumeration Date | 11/30/2022 |
Last Update Date | 11/30/2022 |
Certification Date | 11/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700596863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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