Organization
CRESCENT THERAPY AND ASSESSMENT SERVICES, LLC
Active
Organization
CRESCENT THERAPY AND ASSESSMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAENA ROSHANA BAPTISTE-BOLES PSY.D (PSYCHOLOGIST/OWNER)
(321) 230-0029
Entity
Organization
Contact information
Practice address
160 INTERNATIONAL PKWY, SUITE 250, LAKE MARY, FL 32746-5056
(407) 494-4388
(321) 233-0272
Mailing address
2810 SAN JACINTO CIR, SANFORD, FL 32771-6109
(321) 230-0029
(321) 233-0272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY8557
FL
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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