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Organization
KELLIE GARZA LLC
Active
Organization
KELLIE GARZA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE GARZA LMHC, CST (PSYCHOTHERAPIST)
(321) 403-7036
Entity
Organization
Contact information
Practice address
5445 VILLAGE DR STE 104, VIERA, FL 32955-6666
(321) 403-7036
Mailing address
5445 VILLAGE DR STE 104, VIERA, FL 32955-6666
(321) 403-7036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9492
FL
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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