Organization
TALLAHASSEE THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BOUTHILLIER LCSW, CGP (OWNER)
(850) 241-5707
Entity
Organization
Contact information
Practice address
109 W 4TH AVE, TALLAHASSEE, FL 32303-6152
(850) 241-5707
Mailing address
10678 LAKE IAMONIA DR, TALLAHASSEE, FL 32312-5102
(850) 597-5050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW11731
FL
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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