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Organization
THERAPEUTICALLY BEAUTIFUL, LLC
Active
Organization
THERAPEUTICALLY BEAUTIFUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA-ANN SAMUEL LMHC,NCC (EXECUTIVE DIRECTOR/ PRACTITIONER)
(954) 361-5032
Entity
Organization
Contact information
Practice address
8400 N UNIVERSITY DR STE 111, TAMARAC, FL 33321-1700
(954) 361-5032
Mailing address
8400 N UNIVERSITY DR STE 111, TAMARAC, FL 33321-1700
(954) 361-5032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
08/12/2020
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