Organization
LETS TALK OPENLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUYDY NGUYEN LMFT (OWNER)
(904) 834-1341
Entity
Organization
Contact information
Practice address
2301 PARK AVE STE 205, ORANGE PARK, FL 32073-5558
(904) 834-1341
Mailing address
8074 GATE PKWY W APT 1411, JACKSONVILLE, FL 32216-1618
(904) 834-1341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/15/2023
Last updated
06/16/2023
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