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Organization
TRAUMA HEALING COLLECTIVE, LLC
Active
Organization
TRAUMA HEALING COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DIANE WILDER (LMHC/OWNER)
(850) 273-0199
Entity
Organization
Contact information
Practice address
1114 THOMASVILLE RD STE W, TALLAHASSEE, FL 32303-6273
(850) 273-0199
(850) 792-2491
Mailing address
1114 THOMASVILLE RD STE W, TALLAHASSEE, FL 32303-6273
(850) 273-0199
(850) 792-2491
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/05/2022
Last updated
11/10/2024
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