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Organization

THERAPEUTIC ALLIANCE GROUP, INC.

Active
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Organization

THERAPEUTIC ALLIANCE GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER SHANNON DAMRON MS, LMHC (DIRECTOR)
(352) 379-4665
Entity
Organization

Contact information

Practice address
4432 NW 23RD AVE STE 4, GAINESVILLE, FL 32606-6560
(352) 379-4665
(352) 377-0002
Mailing address
4432 NW 23RD AVE STE 4, GAINESVILLE, FL 32606-6560
(352) 379-4665
(352) 377-0002

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH6211
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH6211
FL
101YM0800X
Mental Health Counselor
Primary
MH6211
FL
101YP2500X
Professional Counselor
MH6211
FL

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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