Lifespan Psychiatric Services, Llc | |
1618 Mahan Center Blvd Ste 103 Tallahassee FL 32308-5476 | |
(850) 999-2996 | |
(833) 450-4861 |
Full Name | Lifespan Psychiatric Services, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1618 Mahan Center Blvd Ste 103, Tallahassee, Florida |
Authorized Official Name and Position | Julianne Kay Folsom (OWNER) |
Authorized Official Contact | 8509992996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifespan Psychiatric Services, Llc 1618 Mahan Center Blvd Ste 103 Tallahassee FL 32308-5476 Ph: (850) 999-2996 | Lifespan Psychiatric Services, Llc 1618 Mahan Center Blvd Ste 103 Tallahassee FL 32308-5476 Ph: (850) 999-2996 |
NPI Number | 1679317127 |
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Provider Enumeration Date | 06/20/2024 |
Last Update Date | 06/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679317127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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