Organization
LISA-EPS ALIGNMENT
Active
Other names
innerriddle, innerriddle
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E STILL LCSW (OWNER)
(772) 349-8876
Entity
Organization
Contact information
Practice address
2144 SE CASSELBERRY DR, PORT SAINT LUCIE, FL 34952-8015
(772) 349-8876
Mailing address
2144 SE CASSELBERRY DR, PORT SAINT LUCIE, FL 34952-8015
(772) 349-8876
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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