Organization
BRAINSPOTTING THERAPY USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MILLER LCSW (OWNER)
(904) 404-9861
Entity
Organization
Contact information
Practice address
4964 GREENLAND HIDEAWAY DR N, JACKSONVILLE, FL 32258-1582
(904) 535-4551
Mailing address
4964 GREENLAND HIDEAWAY DR N, JACKSONVILLE, FL 32258-1582
(190) 453-5455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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