Provider Demographics
NPI:1225257223
Name:MAUREEN BOND
Entity Type:Organization
Organization Name:MAUREEN BOND
Other - Org Name:THERAPY RESULTS P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:904-505-3900
Mailing Address - Street 1:11661 SURFBIRD CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9632
Mailing Address - Country:US
Mailing Address - Phone:904-505-3900
Mailing Address - Fax:888-505-0737
Practice Address - Street 1:12058 SAN JOSE BLVD STE 702
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-8668
Practice Address - Country:US
Practice Address - Phone:904-505-3900
Practice Address - Fax:888-505-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2012-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW#41451041C0700X
FLMT#1765106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1730250358OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL1730250358OtherBLUE CROSS BLUE SHIELD OF FLORIDA