# PANHANDLE THERAPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740915974
- **Authorized official:** HEATHER MONTFORD KING (CEO/DIRECTOR)
- **Authorized official phone:** (850) 447-4546

## Contact information

- **Practice address:** 20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
- **Practice address phone:** (850) 674-8888
- **Practice address fax:** (850) 237-1223
- **Mailing address:** 20311 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1947
- **Mailing address phone:** (850) 674-8888
- **Mailing address fax:** (850) 237-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 01/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111578300 | — | FL |