# JUST BE THERAPEUTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275038473
- **Authorized official:** SHENIQUA DONES-WALLACE LMHC (PSYCHOTHERAPIST/DIRECTOR)
- **Authorized official phone:** (786) 353-4622

## Contact information

- **Practice address:** 2500 HOLLYWOOD BLVD STE 104, HOLLYWOOD, FL 33020-6615
- **Practice address phone:** (786) 353-4622
- **Practice address fax:** (954) 944-5937
- **Mailing address:** 2131 HOLLYWOOD BLVD STE 405, HOLLYWOOD, FL 33020-6787
- **Mailing address phone:** (786) 353-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH13004 | FL | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 09/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 014761500 | — | FL |