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Organization
SHAPING LIVES BEHAVIORAL HEALTH OF MONROE, LLC.
Active
Organization
SHAPING LIVES BEHAVIORAL HEALTH OF MONROE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ORTIZ (PRESIDENT)
(305) 345-3751
Entity
Organization
Contact information
Practice address
103400 OVERSEAS HWY STE 208, KEY LARGO, FL 33037-2848
(305) 345-3751
Mailing address
10145 OVERSEAS HIGHWAY, #224, KEY LARGO, FL 33037
(305) 345-3751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH15356
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
03/27/2019
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