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Organization
PC PC MB2 LLC
Active
Organization
PC PC MB2 LLC
Active
Other names
Epic Flourish
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLAKE-EDWARDS LMHC (MANAGER)
(954) 951-2936
Entity
Organization
Contact information
Practice address
6750 N ANDREWS AVE # 2147, FORT LAUDERDALE, FL 33309-2173
(954) 951-2936
Mailing address
6750 N ANDREWS AVE # 2147, FORT LAUDERDALE, FL 33309-2173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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