| Therapeutic Alliance Of Gainesville Llc | |
|
1810 Nw 6th St Ste E Gainesville FL 32609-8535 | |
| (352) 213-5060 | |
| Not Available |
| Full Name | Therapeutic Alliance Of Gainesville Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1810 Nw 6th St Ste E, Gainesville, Florida |
| Authorized Official Name and Position | Anamari Mazpule (CO-OWNER) |
| Authorized Official Contact | 3522135060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Of Gainesville Llc 2200 Ne 7th St Gainesville FL 32609-3726 Ph: (352) 213-5060 | Therapeutic Alliance Of Gainesville Llc 1810 Nw 6th St Ste E Gainesville FL 32609-8535 Ph: (352) 213-5060 |
| NPI Number | 1528623121 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528623121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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