| Island Equanimity Llc | |
|
317 Riveredge Blvd. Suite 104 Cocoa FL 32922 | |
| (321) 795-2752 | |
| Not Available |
| Full Name | Island Equanimity Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 317 Riveredge Blvd., Cocoa, Florida |
| Authorized Official Name and Position | Christine White (LCSW/ OWNER) |
| Authorized Official Contact | 3217952752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Equanimity Llc 317 Riveredge Blvd. Suite 104 Cocoa FL 32922 Ph: (321) 795-2752 | Island Equanimity Llc 317 Riveredge Blvd. Suite 104 Cocoa FL 32922 Ph: (321) 795-2752 |
| NPI Number | 1467280818 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467280818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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