| Whole Family Therapy, Llc. | |
|
8636 E State Road 70 Lakewood Ranch FL 34202-3785 | |
| (941) 549-1521 | |
| Not Available |
| Full Name | Whole Family Therapy, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8636 E State Road 70, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Travis Hage (SINGLE MEMBER MANAGER) |
| Authorized Official Contact | 9415491521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Family Therapy, Llc. 6309 Rosefinch Ct Unit 103 Lakewood Ranch FL 34202-5162 Ph: (941) 549-1521 | Whole Family Therapy, Llc. 8636 E State Road 70 Lakewood Ranch FL 34202-3785 Ph: (941) 549-1521 |
| NPI Number | 1275011231 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275011231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH13958 (Florida) | Primary |
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