Blue Leaf Therapy

LBN: Blue Leaf Therapy
Blue Leaf Therapy is an health care organization with primary practice located at 1828 S Florida Ave , Lakeland FL 33803-2654. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Blue Leaf Therapy can be contacted via phone (863) 272-9633, or through Choate, Ellie N via phone (717) 609-3626.

Contact Information

Primary practice address
1828 S Florida Ave Lakeland FL 33803-2654
Phone: (863) 272-9633
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Choate, Ellie N Licensed Clinical Social Worker (LCSW)
Phone: (717) 609-3626

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1790563740
LBN Legal business name Blue Leaf Therapy
DBA Doing business as
Authorized official Choate, Ellie N Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2023
Last updated Jan 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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