Provider Demographics
NPI:1326827494
Name:ATTUNEMENT, PLLC
Entity Type:Organization
Organization Name:ATTUNEMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MIRIAM AGATINA
Authorized Official - Last Name:WYKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-333-0881
Mailing Address - Street 1:150 VIA TISDELLE ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5656
Mailing Address - Country:US
Mailing Address - Phone:904-333-0881
Mailing Address - Fax:
Practice Address - Street 1:1406 KINGSLEY AVE STE A2
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4528
Practice Address - Country:US
Practice Address - Phone:904-333-0881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)