Life Symphony Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE SYMPHONY THERAPY, LLC

Practice address

155 Bartram Market Dr Ste 135-169
Saint Johns, FL 32259-4581

Phone

(904) 373-8516

NPI assigned

May 3, 2022

Organization subpart

Yes

Parent organization

LIFE SYMPHONY THERAPY, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fonda E Mosal, DMFT, LMHC, NCCNPI 1821554981

Title

Owner

Phone

(904) 373-8516

Specialties & licenses 1

Addresses

Part of

Life Symphony Therapy LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fonda E Mosal, DMFT, LMHC, NCC

  • Mental Health Counselor
  • Saint Johns, FL
  • NPI 1821554981
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1871238832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-169",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-373-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-169",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-373-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SYMPHONY THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE SYMPHONY THERAPY, LLC",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MOSAL",
        "authorized_official_first_name": "FONDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-373-8516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lekas, CCC-SLP
• James Wayne Leonard, DMD
• Wesley Wade Leonard
• Donald Jacocks Levine, M.D.
• Rebekah Lieberman, APRN
• Lighting the Way ABA Therapy
• Yi Jey Lin, D.M.D.
• Brenden Lindsey, RADIOLOGYADMINISTRAT
• Kara Louise Linick, BSN, RN
• Emily Linville, NP-BC

• Mental Health Counselor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.