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Organization
VIDA HEALING
Active
Organization
VIDA HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELIDA HENDERSON LMHC, NCC (OWNER)
(305) 389-5581
Entity
Organization
Contact information
Practice address
5571 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL 33067-4653
(305) 389-5581
Mailing address
8561 WATERSIDE CT, PARKLAND, FL 33076-2871
(305) 389-5581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/07/2018
Last updated
10/14/2024
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