Exit 56 Therapy Group LLC

NPI #1013733799 in Crestview, Florida

Provider Information

NPI Number: 1013733799
Entity Type: Organization
Organization Name: Exit 56 Therapy Group LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 27, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 124 JOHN KING RD
City: Crestview
State: Florida
ZIP Code: 32539-8306
Phone: (850) 634-6020

Authorized Official

Name: GABRIELLE GRIFFITH
Title: PRESIDENT
Phone: (850) 634-6020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - School — School	103TS0200X
Occupational Therapy Assistant	224Z00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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