Dna Comprehensive Therapy Services, Llc | |
1777 Tamiami Trl Ste 201 Port Charlotte FL 33948-1064 | |
(941) 249-4354 | |
Not Available |
Full Name | Dna Comprehensive Therapy Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1777 Tamiami Trl Ste 201, Port Charlotte, 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 |
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Dna Comprehensive Therapy Services, Llc 4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 Ph: (239) 236-8784 | Dna Comprehensive Therapy Services, Llc 1777 Tamiami Trl Ste 201 Port Charlotte FL 33948-1064 Ph: (941) 249-4354 |
NPI Number | 1003568015 |
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Provider Enumeration Date | 01/20/2022 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003568015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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