Organization Name: | STRUCTURAL ENERGETIC THERAPY INC |
NPI Number: | 1013148261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD B MCCANN (THERAPIST) |
Mailing Address: | 156b Whitaker Rd Lutz |
State: | FL US |
Postal Code: | 335445792 |
Phone Number: | 8139492933 |
Fax Number: | 8139442797 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |