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Organization
JUST BE THERAPEUTIC SERVICES
Active
Organization
JUST BE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENIQUA DONES-WALLACE LMHC (PSYCHOTHERAPIST/DIRECTOR)
(786) 353-4622
Entity
Organization
Contact information
Practice address
2500 HOLLYWOOD BLVD STE 104, HOLLYWOOD, FL 33020-6615
(786) 353-4622
(954) 944-5937
Mailing address
2131 HOLLYWOOD BLVD STE 405, HOLLYWOOD, FL 33020-6787
(786) 353-4622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014761500
—
FL
Enumeration date
03/28/2018
Last updated
09/15/2023
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