| Coplan Therapeutic Ministries Llc | |
|
1508 W La Rua St Pensacola FL 32501-3633 | |
| (850) 529-6264 | |
| (850) 696-2347 |
| Full Name | Coplan Therapeutic Ministries Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1508 W La Rua St, Pensacola, Florida |
| Authorized Official Name and Position | Lonnie James Swanagan (OWNER/THERAPIST) |
| Authorized Official Contact | 8505296264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coplan Therapeutic Ministries Llc 1508 W La Rua St Pensacola FL 32501-3633 Ph: (850) 529-6264 | Coplan Therapeutic Ministries Llc 1508 W La Rua St Pensacola FL 32501-3633 Ph: (850) 529-6264 |
| NPI Number | 1871883280 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871883280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9413 (Florida) | Primary |
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