Provider Demographics
NPI:1720690233
Name:CB STRESS MANAGEMENT LLC
Entity Type:Organization
Organization Name:CB STRESS MANAGEMENT LLC
Other - Org Name:CINTHYA'S SKIN AND BODY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINTHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:973-280-1716
Mailing Address - Street 1:5011 VASSAR LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2937
Mailing Address - Country:US
Mailing Address - Phone:973-280-1716
Mailing Address - Fax:
Practice Address - Street 1:2650 BAHIA VISTA ST STE 307
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2634
Practice Address - Country:US
Practice Address - Phone:973-280-1716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service