| Dna Comprehensive Therapy Services, Llc | |
|
1532 Kingsley Ave Ste 112 Orange Park FL 32073-4536 | |
| (904) 214-3222 | |
| Not Available |
| Full Name | Dna Comprehensive Therapy Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1532 Kingsley Ave Ste 112, Orange Park, Florida |
| Authorized Official Name and Position | Jasmine Curtis (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 2392368784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dna Comprehensive Therapy Services, Llc 4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 Ph: (239) 236-8784 | Dna Comprehensive Therapy Services, Llc 1532 Kingsley Ave Ste 112 Orange Park FL 32073-4536 Ph: (904) 214-3222 |
| NPI Number | 1609504448 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609504448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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