| Phases Of Healing, Counseling And Therapy Llc | |
|
290 Paseo Reyes Dr Saint Augustine FL 32095-8462 | |
| (904) 347-0843 | |
| Not Available |
| Full Name | Phases Of Healing, Counseling And Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 290 Paseo Reyes Dr, Saint Augustine, Florida |
| Authorized Official Name and Position | Angela Marie Fusco (MANAGER) |
| Authorized Official Contact | 9043470843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Of Healing, Counseling And Therapy Llc 4435 Coastal Hwy Saint Augustine FL 32084-1304 Ph: (904) 347-0843 | Phases Of Healing, Counseling And Therapy Llc 290 Paseo Reyes Dr Saint Augustine FL 32095-8462 Ph: (904) 347-0843 |
| NPI Number | 1467003079 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467003079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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