Crescent Therapy And Assessment Services, LLC
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1447693817
StatusActive
Last updated in NPPESApr 16, 2013
Details
- NPI
- 1447693817
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Therapy And Assessment Services, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2013
- Last updated
- Apr 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | PY8557 | FL | Yes |
Practice location
160 International PkwySuite 250
Lake Mary, FL 32746-5056
Phone 407-494-4388 · Fax 321-233-0272
Mailing address
2810 San Jacinto CirSanford, FL 32771-6109
Phone 321-230-0029 · Fax 321-233-0272
Authorized official
Raena Roshana Baptiste-Boles
Psychologist/Owner
3212300029
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