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Organization
TYLA MENTAL HEALTH LLC
Active
Organization
TYLA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI A. S. DOUGLAS LMHC, MA (LICENSED MENTAL HEALTH COUNSELOR)
(954) 534-1537
Entity
Organization
Contact information
Practice address
11911 US HIGHWAY 1 STE 201-23, NORTH PALM BEACH, FL 33408-2827
(954) 534-1537
Mailing address
6120 UNGERER ST, JUPITER, FL 33458-6606
(954) 534-1537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100339
FL
101YM0800X
Mental Health Counselor
Primary
MH12988
FL
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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