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Organization
HEALING HEARTS THERAPY LLC
Active
Organization
HEALING HEARTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE VAVILALA (OWNER)
(904) 318-6109
Entity
Organization
Contact information
Practice address
13400 SUTTON PARK DR S, SUITE 1001-4/5, JACKSONVILLE, FL 32224-0236
(904) 318-6109
Mailing address
352 VALE DR, ST AUGUSTINE, FL 32095-4835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6901
FL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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