ENLIGHTENED THERAPIES
Speech Language Pathology at Basilham Ln, Jacksonville, FL

License number
Florida SA6674
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: AMY THOMAS
Title: OWNER
Phone: (904) 571-5230
Address
Address
14454 Basilham Ln, Jacksonville, FL 32258
National Provider ID: 1417384926
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENLIGHTENED THERAPIES, LLC

14454 Basilham Ln, Jacksonville, FL 32258

Registration:
Feb 4, 2013
State ID:
L13000017467
Business type:
Florida Limited Liability Company
Managing Members:
Amy Thomas (Managing Member), 14454 Basilham Ln, Jacksonville, FL 32258 (Physical),Bruce Thomas (Managing Member), 14454 Basilham Ln, Jacksonville, FL 32258 (Physical)
Agent:
Thomas, Amy,14454 Basilham Ln, Jacksonville, FL 32258 (Physical)
EIN:
46-2244821

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