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Organization
FAITH IN VISIONS REALIZED
Active
Organization
FAITH IN VISIONS REALIZED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PAGAN LMHC (MENTAL HEALTH THERAPIST)
(352) 339-5848
Entity
Organization
Contact information
Practice address
2833 NW 41ST ST STE 100, GAINESVILLE, FL 32606-6986
(352) 339-5848
Mailing address
2833 NW 41ST ST STE 100, GAINESVILLE, FL 32606-6986
(352) 339-5848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11914
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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