| Wings Of Hope Therapy Center Llc | |
|
2825 N 10th St Ste A2 St Augustine FL 32084-1872 | |
| (904) 994-0903 | |
| Not Available |
| Full Name | Wings Of Hope Therapy Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2825 N 10th St Ste A2, St Augustine, Florida |
| Authorized Official Name and Position | Carolyn Moldovanyi (OWNER) |
| Authorized Official Contact | 9049940903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Hope Therapy Center Llc 2825 N 10th St Ste A2 St Augustine FL 32084-1872 Ph: (904) 994-0903 | Wings Of Hope Therapy Center Llc 2825 N 10th St Ste A2 St Augustine FL 32084-1872 Ph: (904) 994-0903 |
| NPI Number | 1922844174 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922844174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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