Organization
IN YOUR ELEMENT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SCIANDRA LCSW (OWNER)
(954) 732-1158
Entity
Organization
Contact information
Practice address
200 HERITAGE CIR APT 406, CANTON, GA 30114-5686
(954) 732-1158
Mailing address
200 HERITAGE CIR APT 406, CANTON, GA 30114-5686
(954) 732-1158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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