Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Acupuncturist |
171100000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Art Therapist |
221700000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1255117065 |
| LBN Legal business name | FLY COUNSELING, LLC |
| Authorized official | JILLIAN POPP - (OWNER, THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/06/2023 |
| Last updated | 09/06/2023 - About 3 years ago |
| Identifiers | n/a |
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