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Organization
STRONG LIVING PROFESSIONAL COUNSELING, PLLC
Active
Organization
STRONG LIVING PROFESSIONAL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN B HAWLEY (MANAGING MEMBER)
(512) 694-8877
Entity
Organization
Contact information
Practice address
145 SEAGRAPE DR APT 105, JUPITER, FL 33458-7893
(512) 694-8877
Mailing address
145 SEAGRAPE DR APT 105, JUPITER, FL 33458-7893
(512) 694-8877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689864407
NPI
—
Enumeration date
06/16/2021
Last updated
06/28/2021
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