Organization
BOMBORA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HOOD (OWNER)
(904) 834-0515
Entity
Organization
Contact information
Practice address
4400 MARSH LANDING BLVD STE 203, PONTE VEDRA BEACH, FL 32082-1287
(904) 834-0515
Mailing address
4400 MARSH LANDING BLVD STE 203, PONTE VEDRA BEACH, FL 32082-1287
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
11/04/2024
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