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Organization
PEACEFUL MENTAL HEALTH ASOCIATE, LLC
Active
Organization
PEACEFUL MENTAL HEALTH ASOCIATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ELIZABETH JOHNSON MS.,LMHC (OWNER)
(863) 773-0002
Entity
Organization
Contact information
Practice address
105 SOUTH 9TH AVE., WAUCHULA, FL 33873
(863) 773-0002
(863) 773-6389
Mailing address
105 SOUTH 9TH AVE., WAUCHULA, FL 33873
(863) 773-0002
(863) 773-6389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10369
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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