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Organization

ALL THERAPIES SUPPORT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA MOSSFORD-CARROLL BCBA, LMHC (CEO)
(386) 316-3004
Entity
Organization

Contact information

Practice address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004
Mailing address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017749900
FL
05
019240300
FL
05
105642800
FL
05
106672600
FL
05
107539200
FL
05
108326300
FL
01
1760614713
NPI
FL
Enumeration date
04/16/2019
Last updated
09/29/2022
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