| Black Sheep Counseling Llc | |
|
112 Bartram Oaks Walk Suite 104 #600513 Saint Johns FL 32259 | |
| (786) 471-8233 | |
| Not Available |
| Full Name | Black Sheep Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 112 Bartram Oaks Walk, Saint Johns, Florida |
| Authorized Official Name and Position | Suzette Lozada (OWNER) |
| Authorized Official Contact | 7864718233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Sheep Counseling Llc 112 Bartram Oaks Walk Suite 104 #600513 Saint Johns FL 32259 Ph: (786) 471-8233 | Black Sheep Counseling Llc 112 Bartram Oaks Walk Suite 104 #600513 Saint Johns FL 32259 Ph: (786) 471-8233 |
| NPI Number | 1669206454 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669206454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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