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Organization
SELF-LOVE HARBOR
Active
Organization
SELF-LOVE HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA VIDAL (OWNER)
(786) 475-1119
Entity
Organization
Contact information
Practice address
17800 W DIXIE HWY STE C3, N MIAMI BEACH, FL 33160-5691
(786) 475-1119
Mailing address
1915 NE 123RD ST, NORTH MIAMI, FL 33181-2804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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