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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