| L.e.a.f. Therapy Services L.l.c. | |
|
1301 Melody Ln Ste B Valdosta GA 31601-0045 | |
| (229) 834-5986 | |
| Not Available |
| Full Name | L.e.a.f. Therapy Services L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1301 Melody Ln Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Andrea Jane Ramirez (OWNER) |
| Authorized Official Contact | 2298345986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.e.a.f. Therapy Services L.l.c. P.o. Box 3815 Valdosta GA 31604-3815 Ph: (229) 834-5986 | L.e.a.f. Therapy Services L.l.c. 1301 Melody Ln Ste B Valdosta GA 31601-0045 Ph: (229) 834-5986 |
| NPI Number | 1548693039 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548693039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006409 (Georgia) | Primary |
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