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Organization
INNER PEACE PENSACOLA LLC
Active
Organization
INNER PEACE PENSACOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB PRICE (OWNER)
(850) 292-4032
Entity
Organization
Contact information
Practice address
600 UNIVERSITY OFFICE BLVD STE 7, PENSACOLA, FL 32504-6251
(850) 292-4032
Mailing address
600 UNIVERSITY OFFICE BLVD STE 7, PENSACOLA, FL 32504-6251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH13948
LMHC LICENSE
FL
Enumeration date
04/15/2019
Last updated
04/15/2019
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