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Organization
HEALTHY SELF MENTAL WELLNESS LLC
Active
Organization
HEALTHY SELF MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGENTA HALL MSN, APRN (OWNER OF ENTITY)
(850) 879-1164
Entity
Organization
Contact information
Practice address
1010 CAPITAL CIRCLE SW, TALLAHASSEE, FL 32304-9261
(850) 879-1164
(850) 848-6543
Mailing address
8759 GREENRIDGE LN, TALLAHASSEE, FL 32312-3696
(850) 879-1164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
12/30/2022
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