| Systems Family Therapy Llc | |
|
1985 Odessa Cir The Villages FL 32162-3830 | |
| (407) 900-9319 | |
| Not Available |
| Full Name | Systems Family Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1985 Odessa Cir, The Villages, Florida |
| Authorized Official Name and Position | Lynnell I Moss (OWNER/OPERATOR) |
| Authorized Official Contact | 6319429150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Systems Family Therapy Llc 1985 Odessa Cir The Villages FL 32162-3830 Ph: (407) 900-9319 | Systems Family Therapy Llc 1985 Odessa Cir The Villages FL 32162-3830 Ph: (407) 900-9319 |
| NPI Number | 1154106888 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 1850838111 |
|---|---|
| Medicare Enrollment ID | O20240805000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154106888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lynell Moss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760013445 PECOS PAC ID: 5991242265 Enrollment ID: I20240805000983 |
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