| Moving Into New Dimensions Therapeutic Services Lllc | |
|
405 Seafoam Cir Fort Pierce FL 34945-1203 | |
| (561) 294-5888 | |
| Not Available |
| Full Name | Moving Into New Dimensions Therapeutic Services Lllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 405 Seafoam Cir, Fort Pierce, Florida |
| Authorized Official Name and Position | Latonya Denise Shaw (OWNER) |
| Authorized Official Contact | 5612945888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Into New Dimensions Therapeutic Services Lllc 405 Seafoam Cir Fort Pierce FL 34945-1203 Ph: (561) 294-5888 | Moving Into New Dimensions Therapeutic Services Lllc 405 Seafoam Cir Fort Pierce FL 34945-1203 Ph: (561) 294-5888 |
| NPI Number | 1710870084 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710870084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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