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Organization

FULLNESS OF LIFE COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YESENIA RETA (OWNER)
(941) 962-2425
Entity
Organization

Contact information

Practice address
1103 9TH AVE W, BRADENTON, FL 34205-7717
(941) 800-1513
Mailing address
1823 25TH AVE E, BRADENTON, FL 34208-7746
(941) 962-2425

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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