The Well Therapy, Pllc | |
223 Taylor St Ste 125 Punta Gorda FL 33950-4453 | |
(941) 979-6575 | |
(941) 564-0258 |
Full Name | The Well Therapy, Pllc |
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Speciality | Counselor - Mental Health |
Location | 223 Taylor St Ste 125, Punta Gorda, Florida |
Authorized Official Name and Position | Mitzi Brown (OWNER) |
Authorized Official Contact | 9419796575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Well Therapy, Pllc 2312 Nuremberg Blvd Punta Gorda FL 33983-2625 Ph: (941) 979-6575 | The Well Therapy, Pllc 223 Taylor St Ste 125 Punta Gorda FL 33950-4453 Ph: (941) 979-6575 |
NPI Number | 1194593632 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 12/14/2023 |
Certification Date | 12/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194593632 | NPI | - | NPPES |
MH19437 | Other | FL | FLORIDA LICENSE |
1821567587 | Other | NPI 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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