| Halcyon Crest Llc | |
|
822 A1a N Ste 310 Ponte Vedra Beach FL 32082-8209 | |
| (904) 686-6856 | |
| Not Available |
| Full Name | Halcyon Crest Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 822 A1a N Ste 310, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Lauren Frye (PSYCHOLOGIST) |
| Authorized Official Contact | 9046866856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyon Crest Llc 822 A1a N Ste 310 Ponte Vedra Beach FL 32082-8209 Ph: () - | Halcyon Crest Llc 822 A1a N Ste 310 Ponte Vedra Beach FL 32082-8209 Ph: (904) 686-6856 |
| NPI Number | 1437733367 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 09/03/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437733367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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