Organization
PHASES OF HEALING, COUNSELING AND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MARIE FUSCO LMHC (MANAGER)
(904) 347-0843
Entity
Organization
Contact information
Practice address
290 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 347-0843
Mailing address
4435 COASTAL HWY, SAINT AUGUSTINE, FL 32084-1304
(904) 347-0843
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
06/02/2021
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