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Organization
THERAPEUTIC ALLIANCE OF GAINESVILLE LLC
Active
Organization
THERAPEUTIC ALLIANCE OF GAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAMARI MAZPULE LCSW (CO-OWNER)
(352) 213-5060
Entity
Organization
Contact information
Practice address
1810 NW 6TH ST STE E, GAINESVILLE, FL 32609-8535
(352) 213-5060
Mailing address
2200 NE 7TH ST, GAINESVILLE, FL 32609-3726
(352) 213-5060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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