| Pemberley Administrative Services, Llc | |
|
157 Hampton Point Dr Ste 1 St Augustine FL 32092-3054 | |
| (904) 466-1106 | |
| Not Available |
| Full Name | Pemberley Administrative Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 157 Hampton Point Dr Ste 1, St Augustine, Florida |
| Authorized Official Name and Position | Lisa Britt (PRESIDENT) |
| Authorized Official Contact | 9044661106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemberley Administrative Services, Llc 1175 Westwood Dr Saint Johns FL 32259-9293 Ph: (904) 466-1106 | Pemberley Administrative Services, Llc 157 Hampton Point Dr Ste 1 St Augustine FL 32092-3054 Ph: (904) 466-1106 |
| NPI Number | 1790202711 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790202711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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