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Organization
PSYCH-ED SERVICES INC.
Active
Organization
PSYCH-ED SERVICES INC.
Active
Other names
Psych-Ed Counseling Services for Children and Families
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA MCDONALD KENNARD ED.D., LMHC, NBCC, (CEO)
(941) 916-5291
Entity
Organization
Contact information
Practice address
207 CROSS ST, SUITE 103, PUNTA GORDA, FL 33950-4432
(941) 916-5291
Mailing address
PO BOX 7020, NORTH PORT, FL 34290-0020
(941) 916-5291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003976200
—
FL
Enumeration date
01/11/2016
Last updated
01/11/2016
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