| Relax Relight Renew | |
|
7777 N Wickham Rd Ste 12-224 Viera FL 32940-7976 | |
| (321) 223-8003 | |
| Not Available |
| Full Name | Relax Relight Renew |
|---|---|
| Speciality | Counselor |
| Location | 7777 N Wickham Rd Ste 12-224, Viera, Florida |
| Authorized Official Name and Position | Lisa Trinca-pierson (OWNER) |
| Authorized Official Contact | 9544837465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relax Relight Renew 702 Sw 122nd Ave Pembroke Pines FL 33025-5921 Ph: (954) 483-7465 | Relax Relight Renew 7777 N Wickham Rd Ste 12-224 Viera FL 32940-7976 Ph: (321) 223-8003 |
| NPI Number | 1821815135 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821815135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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