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Organization
SG MENTAL HEALTH COUNSELING
Active
Organization
SG MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYETTA SHANANEY HOLMES BSW, MSW (MASTER'S LEVEL CLINICAN)
(850) 727-9881
Entity
Organization
Contact information
Practice address
1375A CROSS CREEK CIR, TALLAHASSEE, FL 32301-3729
(850) 425-0206
Mailing address
1374-A CROSS CREEK CIRCLE, TALLAHASSEE, FL 32301
(850) 425-0206
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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