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Blue Leaf Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) in Lakeland, Florida
NPI 1790563740

Blue Leaf Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lakeland, FL and is specialized in Mental Health (Including Community Mental Health Center). Blue Leaf Therapy practices in Lakeland, FL. The NPI Number for Blue Leaf Therapy is 1790563740 and holds a License No. (Florida).

The current practice location address for Blue Leaf Therapy is 1828 S Florida Ave, Lakeland, FL and can be reached out via phone at 863-272-9633.

Location: 1828 S Florida Ave, Lakeland, FL, 33803-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790563740
Provider Name
Blue Leaf Therapy
Credential
Provider Entity Type
Organization
Address
1828 S Florida Ave, Lakeland, FL, 33803-1216
Phone Number
863-272-9633
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1828 S Florida Ave
City
Lakeland
State
Florida
Zip
33803-2654
Phone Number
863-272-9633
Fax Number
person
Provider Business Mailing Address Details
Address
1828 S Florida Ave
City
Lakeland
State
Florida
Zip
33803-2654
Phone Number
863-272-9633
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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