# EARTH ESSENCE SPA THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Earth Essence SPA Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225218241
- **Authorized official:** MRS. SUZETTE S PREBLE LMT (OWNER)
- **Authorized official phone:** (561) 790-3591

## Contact information

- **Practice address:** 13747 50TH PL N, ROYAL PALM BEACH, FL 33411-8155
- **Practice address phone:** (561) 876-2421
- **Practice address fax:** (561) 282-6673
- **Mailing address:** 13747 50TH PL N, ROYAL PALM BEACH, FL 33411-8155
- **Mailing address phone:** (561) 876-2421
- **Mailing address fax:** (561) 282-6673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MA 50419 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007
