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Organization
HEALING ALLIANCE LLC
Active
Organization
HEALING ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID PINTO DE OTAZU (OWNER/LMHC)
(321) 343-6821
Entity
Organization
Contact information
Practice address
402 N BABCOCK ST, MELBOURNE, FL 32935-7346
(321) 343-6821
Mailing address
751 ASHBURY AVE, MELBOURNE, FL 32940-6426
(321) 343-6821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/18/2024
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