| The Brain Spa, Llc | |
|
5200 East Ave West Palm Beach FL 33407-2374 | |
| (803) 605-4806 | |
| (803) 764-4880 |
| Full Name | The Brain Spa, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5200 East Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Sarah Mcvey (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8036054806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brain Spa, Llc 5200 East Ave West Palm Beach FL 33407-2374 Ph: (803) 605-4806 | The Brain Spa, Llc 5200 East Ave West Palm Beach FL 33407-2374 Ph: (803) 605-4806 |
| NPI Number | 1700380904 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700380904 | NPI | - | NPPES |
| ME119718 | Other | FL | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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