| Star Foundation | |
|
2200 Us Highway 441 Se Okeechobee FL 34974-7322 | |
| (707) 857-3359 | |
| Not Available |
| Full Name | Star Foundation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2200 Us Highway 441 Se, Okeechobee, Florida |
| Authorized Official Name and Position | Diana Barrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078573359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Foundation Po Box 516 Geyserville CA 95441-0516 Ph: (707) 857-3359 | Star Foundation 2200 Us Highway 441 Se Okeechobee FL 34974-7322 Ph: (707) 857-3359 |
| NPI Number | 1912134933 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912134933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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