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Organization
NALLIVY FERNANDEZ LMHC LLC
Active
Organization
NALLIVY FERNANDEZ LMHC LLC
Active
Other names
Fields Of Ivy Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
NALLIVY FERNANDEZ LMHC (OWNER)
(954) 682-1552
Entity
Organization
Contact information
Practice address
20336 NW 2ND AVE, MIAMI, FL 33169-2503
(954) 682-1552
Mailing address
630 SW 70TH AVE, PEMBROKE PINES, FL 33023-1023
(954) 682-1552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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