Organization
BLACK CANARY THERAPY LLC
Active
Other names
Lifeologie Counseling St Johns
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LONDON (OWNER)
(850) 524-1616
Entity
Organization
Contact information
Practice address
621 MELROSE ABBEY LN, ST JOHNS, FL 32259-5906
(850) 524-1616
Mailing address
621 MELROSE ABBEY LN, ST JOHNS, FL 32259-5906
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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