Organization
THE BRAIN SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MCVEY DO (CREDENTIALING SPECIALIST)
(803) 605-4806
Entity
Organization
Contact information
Practice address
5200 EAST AVE, WEST PALM BEACH, FL 33407-2374
(803) 605-4806
(803) 764-4880
Mailing address
5200 EAST AVE, WEST PALM BEACH, FL 33407-2374
(803) 605-4806
(803) 764-4880
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME119718
MEDICAL LICENSE NUMBER
FL
Enumeration date
03/21/2018
Last updated
03/21/2018
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