Organization
SPIRITUAL GROWTH THERAPY TRAUMA AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ALLEVA PH.D., LMFT (CEO)
(561) 350-9567
Entity
Organization
Contact information
Practice address
6773 BONIELLO DR, BOCA RATON, FL 33496-1546
(561) 350-9567
Mailing address
6773 BONIELLO DR, BOCA RATON, FL 33496-1546
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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