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Organization
BRAIN EMPOWERMENT LLC
Active
Organization
BRAIN EMPOWERMENT LLC
Active
Other names
Brain Empowerment LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISIANE GONCALVES FIDALGO LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(617) 953-8077
Entity
Organization
Contact information
Practice address
8618 PALMER PARK CIR, SARASOTA, FL 34238-2405
(617) 953-8077
Mailing address
8618 PALMER PARK CIR, SARASOTA, FL 34238-2405
(617) 953-8077
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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