Organization
LINZEY FAISON MENTAL HEALTH ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINZEY R. FAISON ARNP, CNS (PRESIDENT)
(850) 663-4347
Entity
Organization
Contact information
Practice address
501 S BOLIVAR ST, CHATTAHOOCHEE, FL 32324-1347
(850) 663-4347
(850) 663-4727
Mailing address
PO BOX 486, CHATTAHOOCHEE, FL 32324-0486
(850) 663-4347
(850) 663-4727
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
FL637562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301562900
—
FL
Enumeration date
06/20/2006
Last updated
12/22/2008
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