| Mental Health Transformations Llc | |
|
324 N 2nd St Flagler Beach FL 32136-3343 | |
| (386) 530-5158 | |
| (386) 693-4081 |
| Full Name | Mental Health Transformations Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 324 N 2nd St, Flagler Beach, Florida |
| Authorized Official Name and Position | Korin A Menard (OWNER) |
| Authorized Official Contact | 3865305158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Transformations Llc 324 N 2nd St Flagler Beach FL 32136-3343 Ph: (386) 530-5158 | Mental Health Transformations Llc 324 N 2nd St Flagler Beach FL 32136-3343 Ph: (386) 530-5158 |
| NPI Number | 1467007179 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/09/2020 |
| Certification Date | 08/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467007179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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