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Organization

ALL THERAPIES SUPPORT, INC

Active
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Organization

ALL THERAPIES SUPPORT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA MOSSFORD-CARROLL BCBA, LMHC (CEO)
(386) 316-3004
Entity
Organization

Contact information

Practice address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004
Mailing address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017749900
—
FL
05
—
019240300
—
FL
05
—
105642800
—
FL
05
—
106672600
—
FL
05
—
107539200
—
FL
05
—
108326300
—
FL
01
—
1760614713
NPI
FL
Enumeration date
04/16/2019
Last updated
09/29/2022
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