| Seal Therapeutic Corporation | |
|
5818 Se Agnew Rd Belleview FL 34420-4020 | |
| (561) 715-5910 | |
| (561) 892-0268 |
| Full Name | Seal Therapeutic Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5818 Se Agnew Rd, Belleview, Florida |
| Authorized Official Name and Position | Nicole Woller (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5617155910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seal Therapeutic Corporation 2735 Se 140th Pl Summerfield FL 34491-2877 Ph: (561) 715-5910 | Seal Therapeutic Corporation 5818 Se Agnew Rd Belleview FL 34420-4020 Ph: (561) 715-5910 |
| NPI Number | 1346408721 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346408721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | SW8553 (Florida) | Secondary |
News Archive
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