|
| |
|
1764 Tree Blvd Ste 2 St Augustine FL 32084-5723 | |
| (904) 886-3228 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Specialist |
| Location | 1764 Tree Blvd Ste 2, St Augustine, Florida |
| Authorized Official Name and Position | Amanda Streeter (VICE PRESIDENT) |
| Authorized Official Contact | 8006999395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 932184 Atlanta GA 31193-2184 Ph: () - | 1764 Tree Blvd Ste 2 St Augustine FL 32084-5723 Ph: (904) 886-3228 |
| NPI Number | 1790483345 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790483345 | NPI | - | NPPES |
Melissa Muller Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Southpark Cir E, St Augustine, FL 32086 Phone: 904-797-5680 | |
Logan Sincavage, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Old Field Ln, St Augustine, FL 32092 Phone: 561-309-4219 | |
Cornerstone Christian Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-439-4400 Fax: 303-484-3943 | |
J Greg Dent M D & Associates P L Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4565 Fax: 904-819-4999 | |