Organization
ALCHEMY ACUPUNCTURE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M GROSSMAN DOM, AP, LCSW (OWNER)
(941) 779-7443
Entity
Organization
Contact information
Practice address
5607 26TH ST W, BRADENTON, FL 34207-3516
(941) 779-7443
Mailing address
7711 DESOTO MEMORIAL HWY, BRADENTON, FL 34209-9789
(941) 779-7443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1030424
MA
1041C0700X
Clinical Social Worker
Primary
SW 9349
FL
171100000X
Acupuncturist
AP2683
FL
Other
Enumeration date
01/28/2010
Last updated
07/25/2014
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