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Organization
LEAP OF FAITH MENTAL HEALTH COUNSELING PLLC
Active
Organization
LEAP OF FAITH MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANI WILFORM LMHC (OWNER)
(803) 306-0623
Entity
Organization
Contact information
Practice address
1166 BURKE AVE, BRONX, NY 10469-5023
(347) 201-2106
Mailing address
5951 RIVERDALE AVE UNIT 1225, BRONX, NY 10471-4327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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