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Organization
NEW AVENUE COUNSELING
Active
Organization
NEW AVENUE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KIERNAN LPC-MHSP (OWNER)
(901) 609-5030
Entity
Organization
Contact information
Practice address
3651 SE 136TH AVE, OKEECHOBEE, FL 34974-1039
(901) 609-5030
Mailing address
1910 MADISON AVE # 2835, MEMPHIS, TN 38104-2620
(901) 609-5030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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