| Resiliency Well Llc | |
|
4519 Woodbine Rd Pace FL 32571-8706 | |
| (850) 778-3747 | |
| Not Available |
| Full Name | Resiliency Well Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4519 Woodbine Rd, Pace, Florida |
| Authorized Official Name and Position | Jenna Vaughn (THERAPIST/ OWNER) |
| Authorized Official Contact | 8507783747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resiliency Well Llc 4519 Woodbine Rd Pace FL 32571-8706 Ph: (850) 778-3747 | Resiliency Well Llc 4519 Woodbine Rd Pace FL 32571-8706 Ph: (850) 778-3747 |
| NPI Number | 1700596863 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700596863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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