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Organization
RECLAIMING MY MENTAL LLC
Active
Organization
RECLAIMING MY MENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANFORD PURNELL III LCSW (MGR)
(561) 281-5828
Entity
Organization
Contact information
Practice address
1145 AUDACE AVE APT 304, BOYNTON BEACH, FL 33426-3484
(561) 281-5828
Mailing address
1145 AUDACE AVE APT 304, BOYNTON BEACH, FL 33426-3484
(561) 281-5828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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