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Organization
FIRM FOUNDATION MENTAL HEALTH
Active
Organization
FIRM FOUNDATION MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA LARRY RILEY LMHC (THERAPIST)
(407) 291-1680
Entity
Organization
Contact information
Practice address
2917 N PINE HILLS RD, ORLANDO, FL 32808-3539
(407) 398-0893
Mailing address
PO BOX 607891, ORLANDO, FL 32860-7891
(407) 291-1680
(407) 291-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH4756
LICENSED COUNSELOR
FL
Enumeration date
07/23/2006
Last updated
12/21/2007
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