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Organization
SPRING OF LIVING WATER COUNSELING, LLC
Active
Organization
SPRING OF LIVING WATER COUNSELING, LLC
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EGUENEL LOUIS LMHC (OWNER)
(561) 670-8825
Entity
Organization
Contact information
Practice address
1814 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(561) 670-8825
Mailing address
PO BOX 9571, PORT ST LUCIE, FL 34985-9571
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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