# BUENO HEALING HANDS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417774449
- **Authorized official:** KELLY LEEANN KILGORE LCSW (THERAPIST)
- **Authorized official phone:** (407) 452-7592

## Contact information

- **Practice address:** 1901 PEACH TREE BLVD, SAINT CLOUD, FL 34769-1634
- **Practice address phone:** (407) 452-7592
- **Mailing address:** 1901 PEACH TREE BLVD, SAINT CLOUD, FL 34769-1634
- **Mailing address phone:** (407) 452-7592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024