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Organization
CONSCIOUSNESS HOUSE
Active
Organization
CONSCIOUSNESS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE LAURIE MADDOX PHD (PSYCHOTHERAPIST)
(321) 765-3102
Entity
Organization
Contact information
Practice address
121 E STEELE ST, ORLANDO, FL 32804-3908
(321) 765-3102
Mailing address
121 E STEELE ST, ORLANDO, FL 32804-3908
(407) 462-0845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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