| Wholehearted Therapy Llc | |
|
1 W Park Ave Unit B Eustis FL 32726-2900 | |
| (863) 825-5646 | |
| Not Available |
| Full Name | Wholehearted Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 W Park Ave Unit B, Eustis, Florida |
| Authorized Official Name and Position | Charlotte Osborne (OWNER) |
| Authorized Official Contact | 3526385847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Therapy Llc 33904 Clara Dr Leesburg FL 34788-4553 Ph: (352) 638-5847 | Wholehearted Therapy Llc 1 W Park Ave Unit B Eustis FL 32726-2900 Ph: (863) 825-5646 |
| NPI Number | 1851046239 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046239 | NPI | - | NPPES |
| ADC-011572-2015 | Other | FL | CAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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