| Lindsey Gullo, Llc, Lcsw | |
|
305 N Villa San Marco Dr 104 St Augustine FL 32086-5104 | |
| (716) 696-0378 | |
| Not Available |
| Full Name | Lindsey Gullo, Llc, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 305 N Villa San Marco Dr, St Augustine, Florida |
| Authorized Official Name and Position | Lindsey Gullo (OWNER) |
| Authorized Official Contact | 9047193902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Gullo, Llc, Lcsw 4475 Us 1 S St Augustine FL 32086-7284 Ph: () - | Lindsey Gullo, Llc, Lcsw 305 N Villa San Marco Dr 104 St Augustine FL 32086-5104 Ph: (716) 696-0378 |
| NPI Number | 1316485675 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316485675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW13172 (Florida) | Primary |
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