| Mangrove Therapy Group Llc | |
|
401 Linton Blvd Ste 200a Delray Beach FL 33444-8157 | |
| (564) 404-0165 | |
| (561) 847-3299 |
| Full Name | Mangrove Therapy Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 Linton Blvd Ste 200a, Delray Beach, Florida |
| Authorized Official Name and Position | Brian Gong (OWNER/PRACTITIONER) |
| Authorized Official Contact | 5614040165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangrove Therapy Group Llc 401 Linton Blvd Ste 200a Delray Beach FL 33444-8157 Ph: (564) 404-0165 | Mangrove Therapy Group Llc 401 Linton Blvd Ste 200a Delray Beach FL 33444-8157 Ph: (564) 404-0165 |
| NPI Number | 1942952213 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942952213 | NPI | - | NPPES |
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