Organization
PRAXIS THERAPY LLC
Active
Organization
PRAXIS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SPIVEY (DIRECTOR)
(352) 631-8568
Entity
Organization
Contact information
Practice address
110 N 4TH ST, LEESBURG, FL 34748-5167
(352) 631-8568
(888) 694-6198
Mailing address
110 N 4TH ST, LEESBURG, FL 34748-5167
(352) 631-8568
(888) 694-6198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
08/11/2019
Last updated
06/24/2020
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