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Organization
LJAK ENTERPRISES LLC
Active
Organization
LJAK ENTERPRISES LLC
Active
Other names
Ellie Mental Health - NW Florida
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KENNEDY (OWNER)
(850) 516-5592
Entity
Organization
Contact information
Practice address
8354 N DAVIS HWY, SUITE 200, PENSACOLA, FL 32514
(850) 516-5592
Mailing address
5629 PREAKNESS CT, PACE, FL 32571-6378
(850) 516-5592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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