| Full Health Journey, Llc | |
|
12785 Pinnacle Ln Venice FL 34293-5161 | |
| (630) 487-0795 | |
| Not Available |
| Full Name | Full Health Journey, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12785 Pinnacle Ln, Venice, Florida |
| Authorized Official Name and Position | Dawn Catherine Kroencke (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6304870795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Health Journey, Llc 2357 S Tamiami Trail Ste 3 Pmb 174 Venice FL 34293-5161 Ph: (941) 218-3821 | Full Health Journey, Llc 12785 Pinnacle Ln Venice FL 34293-5161 Ph: (630) 487-0795 |
| NPI Number | 1659128387 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659128387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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