Organization
THE BODY IMAGE COUNSELING CENTER
Active
Organization
THE BODY IMAGE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI BETH OSACHY MSS (PRESIDENT)
(904) 737-3232
Entity
Organization
Contact information
Practice address
1545 LANDON AVE, JACKSONVILLE, FL 32207-8671
(904) 737-3232
(904) 396-4505
Mailing address
1545 LANDON AVE, JACKSONVILLE, FL 32207-8671
(904) 737-3232
(904) 396-4505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW5916
FL
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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