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Organization
EXPERIENTIAL HEALING PLLC
Active
Organization
EXPERIENTIAL HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BRUNSON LMHC (OWNER/CEO)
(850) 978-2852
Entity
Organization
Contact information
Practice address
188 LODGE RD, FREEPORT, FL 32439-2212
(850) 333-6283
Mailing address
188 LODGE RD, FREEPORT, FL 32439-2212
(850) 333-6283
(850) 353-0003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
02/11/2026
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