Organization
IEISHA FARRELL
Active
Parent organization
1980
Other names
Ieisha Farrell
Organization subpart
Yes
Provider details
NPI number
Legal business name
1980
Authorized official
IEISHA T FARRELL (SOLO PROVIDER)
(850) 445-8821
Entity
Organization
Contact information
Practice address
708 POINTE CT APT A, TALLAHASSEE, FL 32308-6170
(850) 445-8821
Mailing address
708 POINTE CT APT A, TALLAHASSEE, FL 32308-6170
(850) 445-8821
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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