| Fully Alive Therapies Llc | |
|
5128 Arbor Glen Cir Lake Worth FL 33463-8043 | |
| (630) 216-9881 | |
| Not Available |
| Full Name | Fully Alive Therapies Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5128 Arbor Glen Cir, Lake Worth, Florida |
| Authorized Official Name and Position | Jithin Joseph George (OWNER) |
| Authorized Official Contact | 6302169881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fully Alive Therapies Llc 5128 Arbor Glen Cir Lake Worth FL 33463-8043 Ph: (630) 216-9881 | Fully Alive Therapies Llc 5128 Arbor Glen Cir Lake Worth FL 33463-8043 Ph: (630) 216-9881 |
| NPI Number | 1750018305 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750018305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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