| Inner Restoration Llc | |
|
584 Nw University Blvd Port Saint Lucie FL 34986-2268 | |
| (772) 218-2398 | |
| Not Available |
| Full Name | Inner Restoration Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 584 Nw University Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Jesel Rubin (MANAGER) |
| Authorized Official Contact | 7722182398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Restoration Llc 5475 Nw St James Dr Suite 420, Port St. Lucie FL 34983-1341 Ph: (772) 218-2398 | Inner Restoration Llc 584 Nw University Blvd Port Saint Lucie FL 34986-2268 Ph: (772) 218-2398 |
| NPI Number | 1760233043 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760233043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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