Beth Liljestrand
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tallahassee, FL. Organization (NPI-2).
NPI number1306333935
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1306333935
- Entity type
- Organization (NPI-2)
- Legal business name
- Beth Liljestrand
- Organization subpart
- No
- Enumeration date
- Apr 19, 2018
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 7203 | FL | Yes |
Other names
- Beth Liljestrand (Doing Business As)
Practice location
3201 Shamrock St S Ste 103Tallahassee, FL 32309-3349
Phone 850-661-5466 · Fax 850-894-0062
Mailing address
3201 Shamrock St S Ste 103Tallahassee, FL 32309-3349
Phone 850-661-5466 · Fax 850-894-0062
Authorized official
Beth Ann Liljestrand
Therapist/Private Practitioner
8506615466
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