Organization
BOH HEALTH AND EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECARLOS SCIPPIO LCSW (OWNER AND PROVIDER)
(386) 344-8355
Entity
Organization
Contact information
Practice address
250 NW MAIN BLVD, UNIT 725, LAKE CITY, FL 32055-9998
(386) 344-8355
Mailing address
PO BOX 725, LAKE CITY, FL 32056-0725
(386) 344-8355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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