| Growing Branches Llc | |
|
7345 W Sand Lake Rd Ste 303 Orlando FL 32819-5205 | |
| (407) 488-9043 | |
| Not Available |
| Full Name | Growing Branches Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7345 W Sand Lake Rd Ste 303, Orlando, Florida |
| Authorized Official Name and Position | Amy Wagner (OWNER) |
| Authorized Official Contact | 4074889043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Branches Llc 12190 Canyon Sun Trl Windermere FL 34786-6537 Ph: (407) 488-9043 | Growing Branches Llc 7345 W Sand Lake Rd Ste 303 Orlando FL 32819-5205 Ph: (407) 488-9043 |
| NPI Number | 1538913082 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538913082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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