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Organization
RESILIENCY WELL LLC
Active
Organization
RESILIENCY WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA VAUGHN LMHC (THERAPIST/ OWNER)
(850) 778-3747
Entity
Organization
Contact information
Practice address
4519 WOODBINE RD, PACE, FL 32571-8706
(850) 778-3747
Mailing address
4519 WOODBINE RD, PACE, FL 32571-8706
(850) 778-3747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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