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Organization
MANDALA COUNSELING SERVICES LLC
Active
Organization
MANDALA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA KELLY JAWORSKI LMHC (OWNER)
(941) 962-9661
Entity
Organization
Contact information
Practice address
6361 PRESIDENTIAL CT STE 101, FORT MYERS, FL 33919-3583
(239) 360-1976
Mailing address
6361 PRESIDENTIAL CT STE 101, FORT MYERS, FL 33919-3583
(239) 360-1983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932687167
LICENSED MENTAL HEALTH COUNSELOR
—
Enumeration date
10/02/2019
Last updated
10/28/2022
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