Organization · NPI-2

Earth Haven Therapy INC.

Marriage & Family Therapist · Ocala, FL

NPI number1407447600
StatusActive
Last updated in NPPESNov 25, 2021

Details

NPI
1407447600
Entity type
Organization (NPI-2)
Legal business name
Earth Haven Therapy INC.
Organization subpart
No
Enumeration date
Jan 29, 2021
Certification date
Nov 25, 2021
Last updated
Nov 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Other names

  • Linda Bert (Doing Business As)
  • Beach Behavioral LLC (Former Legal Business Name)

Practice location

8760 Sw 21st Ct
Ocala, FL 34476-6732

Phone 818-272-6442 · Fax 714-333-4407

Mailing address

8760 Sw 21st Ct
Ocala, FL 34476-6732

Phone 818-272-6442 · Fax 714-333-4407

Authorized official

Linda Monique Bert
Lmft
8182726442

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