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Organization
MANGROVE THERAPY GROUP LLC
Active
Organization
MANGROVE THERAPY GROUP LLC
Active
Other names
Mangrove Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GONG LMHC (OWNER/PRACTITIONER)
(561) 404-0165
Entity
Organization
Contact information
Practice address
401 LINTON BLVD STE 200A, DELRAY BEACH, FL 33444-8157
(564) 404-0165
(561) 847-3299
Mailing address
401 LINTON BLVD STE 200A, DELRAY BEACH, FL 33444-8157
(564) 404-0165
(561) 847-3299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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