Organization
COASTAL SUNSHINE AND REIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EBONI LYONS (OWNER)
(850) 284-2093
Entity
Organization
Contact information
Practice address
2441 N 9TH AVE STE B, PENSACOLA, FL 32503-3989
(850) 284-2093
Mailing address
3487 SHORTLEAF CT, CANTONMENT, FL 32533-8449
(850) 284-2093
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
08/09/2022
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