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Organization
VILLAGES MIND AND BODY INSTITUTE
Active
Organization
VILLAGES MIND AND BODY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA MARIE HOUGHTON (OFFICE MANAGER)
(352) 633-0614
Entity
Organization
Contact information
Practice address
324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
(352) 633-0614
(866) 684-9990
Mailing address
324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
(352) 633-0614
(866) 684-9990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-007797-2015
FL
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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