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Organization
HOPE ABUNDANCE BEHAVIORAL HEALTH PLLC
Active
Organization
HOPE ABUNDANCE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANI ARIEL WILLIAMS-EPHRIAM MSW LCSW QS (OWNER)
(954) 560-4279
Entity
Organization
Contact information
Practice address
1816 E OAKLAND PARK BLVD APT 61, FORT LAUDERDALE, FL 33306-1118
(954) 560-4279
(954) 522-5174
Mailing address
1314 E LAS OLAS BLVD STE 1590, FORT LAUDERDALE, FL 33301-2334
(954) 560-4279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619584307
NPI
—
01
—
1669927653
NPI
—
Enumeration date
09/26/2020
Last updated
03/06/2024
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