Provider Demographics
NPI:1659572253
Name:ALL-N-ONE THERAPY, INC
Entity Type:Organization
Organization Name:ALL-N-ONE THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:850-784-7888
Mailing Address - Street 1:1011 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2494
Mailing Address - Country:US
Mailing Address - Phone:850-784-7888
Mailing Address - Fax:850-387-1445
Practice Address - Street 1:1011 GRACE AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2494
Practice Address - Country:US
Practice Address - Phone:850-784-7888
Practice Address - Fax:850-387-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7058251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10OtherMENTAL HEALTH COUNSELOR