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NPI Code Detail

MEDICARE: COMFORT CREATIONS LLC

MEDICARE: COMFORT CREATIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1255897849
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORT CREATIONS LLC
Provider Business Mailing Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 407-902-4912
Fax Number :
Provider Business Practice Location Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 407-902-4912
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHELLE M BOWERS
Credential : LMFT
Telephone Number : 321-544-1504
Provider Enumeration Date : 02/19/2019
Last Update Date : 02/19/2019

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Directions to “COMFORT CREATIONS LLC ” Practice Location

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