Organization
CLEETHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LEE LCSW (MANAGER)
(706) 587-0934
Entity
Organization
Contact information
Practice address
395 PALM COAST PKWY SW UNIT 4, PALM COAST, FL 32137-4768
(904) 512-0018
(904) 990-1680
Mailing address
395 PALM COAST PKWY SW UNIT 4, PALM COAST, FL 32137-4768
(904) 512-0018
(904) 990-1680
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/07/2019
Last updated
01/29/2025
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