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Organization
HOPE AND HEALING CENTER, LLC
Active
Organization
HOPE AND HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA ZAKOMAC BACEVAC LMHC (OWNER/CLINICAL DIRECTOR)
(800) 896-6105
Entity
Organization
Contact information
Practice address
6015 MORROW ST E, SUITE114, JACKSONVILLE, FL 32217-2121
(800) 896-6105
(904) 637-4716
Mailing address
4411 SUNBEAM RD # 56918, SUITE 101, JACKSONVILLE, FL 32257-7525
(800) 896-6105
(904) 637-4716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010484600
—
FL
Enumeration date
08/18/2014
Last updated
08/29/2016
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