| Resolutions Health Alliance, P | |
|
1344 Se Baya Dr Lake City FL 32025-4888 | |
| (386) 754-9005 | |
| (386) 754-9017 |
| Full Name | Resolutions Health Alliance, P |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1344 Se Baya Dr, Lake City, Florida |
| Authorized Official Name and Position | Michael Yeager (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3867549005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolutions Health Alliance, P 922 Sw Baya Dr Lake City FL 32025-4209 Ph: (386) 754-9005 | Resolutions Health Alliance, P 1344 Se Baya Dr Lake City FL 32025-4888 Ph: (386) 754-9005 |
| NPI Number | 1861886277 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861886277 | NPI | - | NPPES |
| 004671401 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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