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Organization
JEANIS HOLISTIC PSYCHOTHERAPY, LLC
Active
Organization
JEANIS HOLISTIC PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ARMIDE JEANIS MSW, LCSW (CEO & CLINICAL THERAPIST)
(754) 280-8805
Entity
Organization
Contact information
Practice address
331 NW 78TH TER APT 104, PEMBROKE PINES, FL 33024-1219
(954) 546-1093
(954) 827-0863
Mailing address
13173 SW 44TH ST, MIRAMAR, FL 33027-3114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW20897
LCSW LICENSE
FL
Enumeration date
02/02/2023
Last updated
02/02/2023
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