| Blue Sky Counseling, Llc | |
|
1801 S 23rd St Ste 4 Fort Pierce FL 34950-4830 | |
| (772) 801-5192 | |
| Not Available |
| Full Name | Blue Sky Counseling, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1801 S 23rd St Ste 4, Fort Pierce, Florida |
| Authorized Official Name and Position | Nely Carmona Perez (MANAGER) |
| Authorized Official Contact | 7728015192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Counseling, Llc 1801 S 23rd St Ste 4 Fort Pierce FL 34950-4830 Ph: (772) 801-5192 | Blue Sky Counseling, Llc 1801 S 23rd St Ste 4 Fort Pierce FL 34950-4830 Ph: (772) 801-5192 |
| NPI Number | 1609596162 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609596162 | NPI | - | NPPES |
| 116364100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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