Organization
HALCYON CREST LLC
Active
Organization
HALCYON CREST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FRYE PHD, BCC (PSYCHOLOGIST)
(904) 686-6856
Entity
Organization
Contact information
Practice address
822 A1A N STE 310, PONTE VEDRA BEACH, FL 32082-8209
(904) 686-6856
Mailing address
822 A1A N STE 310, PONTE VEDRA BEACH, FL 32082-8209
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
09/03/2021
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