| Beth Liljestrand | |
|
3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 | |
| (850) 661-5466 | |
| (850) 894-0062 |
| Full Name | Beth Liljestrand |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3201 Shamrock St S Ste 103, Tallahassee, Florida |
| Authorized Official Name and Position | Beth Ann Liljestrand (THERAPIST/PRIVATE PRACTITIONER) |
| Authorized Official Contact | 8506615466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Liljestrand 3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 Ph: (850) 661-5466 | Beth Liljestrand 3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 Ph: (850) 661-5466 |
| NPI Number | 1306333935 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306333935 | NPI | - | NPPES |
| 1318096 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7203 (Florida) | Primary |
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