| Faith Gisondi, Llc | |
|
615 Sw St Lucie Crescent Unit 106 Stuart FL 34994-2860 | |
| (772) 215-2181 | |
| Not Available |
| Full Name | Faith Gisondi, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 615 Sw St Lucie Crescent, Stuart, Florida |
| Authorized Official Name and Position | Faith Gisondi (PRESIDENT/MANAGER) |
| Authorized Official Contact | 7722152181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Gisondi, Llc 615 Sw St Lucie Crescent Unit 106 Stuart FL 34994-2860 Ph: (772) 215-2181 | Faith Gisondi, Llc 615 Sw St Lucie Crescent Unit 106 Stuart FL 34994-2860 Ph: (772) 215-2181 |
| NPI Number | 1255888293 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255888293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH13767 (Florida) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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