Organization
THE EXCHANGE FOR GROWTH AND TRANSITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOFMAIER LMHC (LMHC)
(772) 631-0591
Entity
Organization
Contact information
Practice address
607 SW SAINT LUCIE CRES STE 107, STUART, FL 34994-2851
(772) 631-0591
Mailing address
607 SW SAINT LUCIE CRES STE 107, STUART, FL 34994-2851
(772) 631-0591
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MH 12219
FL
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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