Inner Restoration Llc | |
6890 Nw Hogate Cir Port Saint Lucie FL 34983-1341 | |
(772) 218-2398 | |
Not Available |
Full Name | Inner Restoration Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 6890 Nw Hogate Cir, Port Saint Lucie, Florida |
Authorized Official Name and Position | Jesel Rubin (MANAGER) |
Authorized Official Contact | 7722182398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Restoration Llc 6890 Nw Hogate Cir Port Saint Lucie FL 34983-1341 Ph: (772) 218-2398 | Inner Restoration Llc 6890 Nw Hogate Cir Port Saint Lucie FL 34983-1341 Ph: (772) 218-2398 |
NPI Number | 1760233043 |
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Provider Enumeration Date | 03/27/2024 |
Last Update Date | 05/29/2024 |
Certification Date | 05/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760233043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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