Organization
FAMILY MATTERS OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JOHNSTON LMHC (OWNER)
(904) 269-3522
Entity
Organization
Contact information
Practice address
165 WELLS RD STE 203, ORANGE PARK, FL 32073-3036
(904) 269-3522
Mailing address
165 WELLS RD STE 203, ORANGE PARK, FL 32073-3036
(904) 269-3522
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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