Organization
NIKI THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ROBERTS (CREDENTIALING SPECIALIST)
(321) 247-8334
Entity
Organization
Contact information
Practice address
1416 PARK AVE STE 201, FERNANDINA BEACH, FL 32034-1901
(904) 548-6352
Mailing address
85074 MAJESTIC WALK BLVD, FERNANDINA BEACH, FL 32034-3872
(904) 548-6352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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