Cleetherapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Palm Coast, FL. Organization (NPI-2).
NPI number1700445350
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1700445350
- Entity type
- Organization (NPI-2)
- Legal business name
- Cleetherapy
- Organization subpart
- No
- Enumeration date
- Jun 7, 2019
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
395 Palm Coast Pkwy Sw Unit 4Palm Coast, FL 32137-4768
Phone 904-512-0018 · Fax 904-990-1680
Mailing address
395 Palm Coast Pkwy Sw Unit 4Palm Coast, FL 32137-4768
Phone 904-512-0018 · Fax 904-990-1680
Authorized official
Christina Lee
Manager
7065870934
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