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Organization
STONE THERAPY AND CONSULTING, LLC
Active
Organization
STONE THERAPY AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA LAVENDER STONE LCSW (CLINICIAN OWNER)
(386) 316-6948
Entity
Organization
Contact information
Practice address
3131 NW 13TH ST, GAINESVILLE, FL 32609-5902
(386) 316-6948
Mailing address
1842 NE 167TH PL, GAINESVILLE, FL 32609-4515
(386) 316-6948
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356806814
INDIVIDUAL NPI NUMBER
—
Enumeration date
09/20/2022
Last updated
09/20/2022
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