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Organization
INSIGHTFUL THERAPEUTIC SOLUTIONS LLC
Active
Organization
INSIGHTFUL THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIANA NOELLE MENENDEZ LCSW, RPT (OWNER/OPERATOR)
(386) 259-8071
Entity
Organization
Contact information
Practice address
4770 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4544
(386) 259-8071
(386) 204-8712
Mailing address
4770 S RIDGEWOOD AVE, PORT ORANGE, FL 32127-4544
(386) 259-8071
(386) 204-8712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093270290
NPPES
FL
Enumeration date
07/27/2020
Last updated
11/10/2022
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