| Crescent Therapy And Assessment Services, Llc | |
|
160 International Pkwy Suite 250 Lake Mary FL 32746-5056 | |
| (407) 494-4388 | |
| (321) 233-0272 |
| Full Name | Crescent Therapy And Assessment Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Raena Roshana Baptiste-boles (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3212300029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Therapy And Assessment Services, Llc 2810 San Jacinto Cir Sanford FL 32771-6109 Ph: (321) 230-0029 | Crescent Therapy And Assessment Services, Llc 160 International Pkwy Suite 250 Lake Mary FL 32746-5056 Ph: (407) 494-4388 |
| NPI Number | 1447693817 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447693817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY8557 (Florida) | Primary |
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