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1205588506
SAGE MENTAL, LLC
ST PETERSBURG, FL
NPI
1205588506
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Entity Type
Organization
Authorized Contact
AMANDA LILES
Owner
850-502-3090
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2022-01-19
Last Update Date
2022-06-04
Business Address
SAGE MENTAL, LLC
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702-4399
Phone number: 850-290-7331
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Mailing Address
SAGE MENTAL, LLC
PO BOX 4418
FORT WALTON BEACH, FL 32549-4418
Phone number: 850-502-3090
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