Organization
M.FERNANDA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDA GALLEGOS LMHC (OWNER)
(617) 840-1742
Entity
Organization
Contact information
Practice address
1413 S DISSTON AVE, TARPON SPRINGS, FL 34689-7911
(617) 840-1742
Mailing address
1413 S DISSTON AVE, TARPON SPRINGS, FL 34689-7911
(617) 840-1742
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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