BLACK CANARY THERAPY LLC
NPI 1083597918
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Johns, FL
About Black Canary Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK CANARY THERAPY LLC (NPI 1083597918), doing business as Lifeologie Counseling St Johns, is a healthcare organization registered as a mental health (including community mental health center) in St Johns, Florida and active in the NPI registry since July 2025. The organization lists Megan London, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Black Canary Therapy LLC's NPI number?
The NPI number for Black Canary Therapy LLC is 1083597918. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Lifeologie Counseling St Johns.
Where is Black Canary Therapy LLC located?
Black Canary Therapy LLC is located at 621 Melrose Abbey Ln, St Johns, FL 32259. The listed phone number is (850) 524-1616.
What is Black Canary Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Black Canary Therapy LLC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Black Canary Therapy Llc · NPI 1083597918
Mental Health (Including Community Mental Health Center) organization in St Johns, Florida. Organization record, active in the CMS NPPES registry since July 29, 2025.
## Identity
- **NPI:** 1083597918 (Entity type: Organization)
- **Enumerated:** July 29, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Lifeologie Counseling St Johns (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Megan London, OWNER
## Practice location
- **Address:** 621 MELROSE ABBEY LN, St Johns, FL 32259-5906
- **Phone:** (850) 524-1616
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083597918) · Data from the CMS NPPES public registry.