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Organization
NOT BY CHANCE MENTAL HEALTH SERVICES INC.
Active
Organization
NOT BY CHANCE MENTAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANZOLA WIGGINS (OWNER)
(850) 570-0522
Entity
Organization
Contact information
Practice address
2442 FULFORD RD, MONTICELLO, FL 32344-4347
(850) 570-0522
(850) 204-4100
Mailing address
2442 FULFORD RD, MONTICELLO, FL 32344-4347
(850) 570-0522
(850) 204-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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