| Life Symphony Therapy, Llc | |
|
155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 | |
| (904) 373-8516 | |
| Not Available |
| Full Name | Life Symphony Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 155 Bartram Market Dr Ste 135-169, Saint Johns, Florida |
| Authorized Official Name and Position | Fonda E Mosal (OWNER) |
| Authorized Official Contact | 9043738516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Symphony Therapy, Llc 155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 Ph: (904) 373-8516 | Life Symphony Therapy, Llc 155 Bartram Market Dr Ste 135-169 Saint Johns FL 32259-4581 Ph: (904) 373-8516 |
| NPI Number | 1871238832 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871238832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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