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Organization
LIFE SYMPHONY THERAPY, LLC
Active
Organization
LIFE SYMPHONY THERAPY, LLC
Active
Parent organization
LIFE SYMPHONY THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE SYMPHONY THERAPY, LLC
Authorized official
DR. FONDA E MOSAL DMFT, LMHC, NCC (OWNER)
(904) 373-8516
Entity
Organization
Contact information
Practice address
155 BARTRAM MARKET DR STE 135-169, SAINT JOHNS, FL 32259-4581
(904) 373-8516
Mailing address
155 BARTRAM MARKET DR STE 135-169, SAINT JOHNS, FL 32259-4581
(904) 373-8516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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