FSBA,INC
Mental Health at Old Bellamy Rd, Alachua, FL

License number
Florida MH2814
Category
Mental Health
Type
Mental Health
Owner
Name: SUSAN DEBORAH CLIETT LMHC
Title: CEO
Phone: (352) 278-1920
Address
Address
19802 Old Bellamy Rd, Alachua, FL 32615
National Provider ID: 1427508100
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FSBA,INC at bizstanding.com

FSBA, INC

19802 Old Bellamy Rd, Alachua, FL 32615

Registration:
Apr 3, 2015
State ID:
P15000030886
Business type:
Florida Profit Corporation
President:
Susan D Cliett (President), 19802 Old Bellamy Rd, Alachua, FL 32615 (Physical)
Agent:
Susan Cliett,19802 Bellamy Rd, Alachua, FL 32615 (Physical)
EIN:
NO-NE

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