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Organization
SHEDDING LIGHT COUNSELING 'LLC'
Active
Organization
SHEDDING LIGHT COUNSELING 'LLC'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER M SANTIAGO LMHC (OWNER/OPERATOR)
(352) 397-6889
Entity
Organization
Contact information
Practice address
24059 CORTEZ BLVD, BROOKSVILLE, FL 34601
(352) 631-7717
Mailing address
24059 CORTEZ BLVD, BROOKSVILLE, FL 34601-7722
(352) 397-6889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021304600
—
FL
Enumeration date
08/01/2018
Last updated
02/11/2022
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