Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ancient City Children's Therapy, LLC

Organization Specialist · NPI 1619267671

Ancient City Children's Therapy, LLC is a Specialist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

367 Gianna Way
St Augustine, FL 32086-3858
Phone: (904) 826-7886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12653 (FL)

Record details

NPI number1619267671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johannie Garcia — Owner · (904) 826-7886
NPI enumeratedApril 12, 2011
Last updated in NPPESApril 12, 2011
Mailing address109 S. Winterhawk, Suite 7, St. Augustine, FL 32086

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