Organization · Type 2 NPI
Black Canary Therapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Johns, FL
NPI number
1083597918
Active
Practice location
621 Melrose Abbey Ln
St. Johns, FL 32259-5906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1083597918
Black Canary Therapy LLC's National Provider Identifier is 1083597918, issued on Jul 29, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Johns, FL. The record was last updated on Jul 29, 2025.