Logan Sincavage, Llc | |
143 Old Field Ln St Augustine FL 32092-1928 | |
(561) 309-4219 | |
Not Available |
Full Name | Logan Sincavage, Llc |
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Speciality | Counselor - Mental Health |
Location | 143 Old Field Ln, St Augustine, Florida |
Authorized Official Name and Position | Logan Sincavage (CEO) |
Authorized Official Contact | 5613094219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Logan Sincavage, Llc 143 Old Field Ln St Augustine FL 32092-1928 Ph: () - | Logan Sincavage, Llc 143 Old Field Ln St Augustine FL 32092-1928 Ph: (561) 309-4219 |
NPI Number | 1073146387 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 02/14/2020 |
Certification Date | 02/14/2020 |
Identifier | Type | State | Issuer |
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1073146387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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