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Organization
BOSSER PSYCHOLOGY & CONSULTING
Active
Organization
BOSSER PSYCHOLOGY & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALIE ANNE BANAGHAN LMHC (CLINICAL DIRECTOR)
(386) 871-3104
Entity
Organization
Contact information
Practice address
136 JULIA ST UNIT 100, NEW SMYRNA, FL 32168-7713
(407) 389-9549
Mailing address
400 N TAMPA ST STE 1550, TAMPA, FL 33602-4737
(407) 389-9549
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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