Black Canary Therapy LLC

NPI #1083597918 in St Johns, Florida

Provider Information

NPI Number
1083597918
Entity Type
Organization
Organization Name
Black Canary Therapy LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jul 29, 2025
Last Updated
Jul 29, 2025

Practice Location

Address
621 MELROSE ABBEY LN
State
Florida
ZIP Code
32259-5906
Phone
(850) 524-1616

Authorized Official

Name
MEGAN LONDON
Title
OWNER
Phone
(850) 524-1616

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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