| Enso Psych Group, Llc | |
|
1113 S Magnolia Dr Tallahassee FL 32301-4659 | |
| (850) 778-1642 | |
| Not Available |
| Full Name | Enso Psych Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1113 S Magnolia Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Sion Doman (MANAGER/MEMBER) |
| Authorized Official Contact | 8507781642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Psych Group, Llc 1113 S Magnolia Dr Tallahassee FL 32301-4659 Ph: (850) 778-1642 | Enso Psych Group, Llc 1113 S Magnolia Dr Tallahassee FL 32301-4659 Ph: (850) 778-1642 |
| NPI Number | 1265683551 |
|---|---|
| Provider Enumeration Date | 10/04/2008 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265683551 | NPI | - | NPPES |
| 001964700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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