| Black Canary Therapy Llc | |
|
621 Melrose Abbey Ln St Johns FL 32259-5906 | |
| (850) 524-1616 | |
| Not Available |
| Full Name | Black Canary Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 621 Melrose Abbey Ln, St Johns, Florida |
| Authorized Official Name and Position | Megan London (OWNER) |
| Authorized Official Contact | 8505241616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Canary Therapy Llc 621 Melrose Abbey Ln St Johns FL 32259-5906 Ph: () - | Black Canary Therapy Llc 621 Melrose Abbey Ln St Johns FL 32259-5906 Ph: (850) 524-1616 |
| NPI Number | 1083597918 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083597918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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