Peaceful Mental Health Asociate, Llc | |
105 South 9th Ave. Wauchula FL 33873 | |
(863) 773-0002 | |
(863) 773-6389 |
Full Name | Peaceful Mental Health Asociate, Llc |
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Speciality | Counselor - Mental Health |
Location | 105 South 9th Ave., Wauchula, Florida |
Authorized Official Name and Position | Sarah Elizabeth Johnson (OWNER) |
Authorized Official Contact | 8637730002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peaceful Mental Health Asociate, Llc 105 South 9th Ave. Wauchula FL 33873 Ph: (863) 773-0002 | Peaceful Mental Health Asociate, Llc 105 South 9th Ave. Wauchula FL 33873 Ph: (863) 773-0002 |
NPI Number | 1386902252 |
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Provider Enumeration Date | 04/30/2012 |
Last Update Date | 04/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386902252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH10369 (Florida) | Primary |
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