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

Black Canary Therapy LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1083597918

Black Canary Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in St Johns, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

621 Melrose Abbey Ln
St Johns, FL 32259-5906
Phone: (850) 524-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1083597918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan London — Owner · (850) 524-1616
Other names Lifeologie Counseling St Johns
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address621 Melrose Abbey Ln, St Johns, FL 32259-5906

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