Organization
ANTIDOTE WELLNESS LLC
Active
Other names
Antidote Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L HAGGARD MSW, LCSW (SOLE OWNER/PSYCHOTHERAPIST)
(850) 332-3087
Entity
Organization
Contact information
Practice address
5435 JAPONICA AVE, PENSACOLA, FL 32507-8848
(850) 332-3087
Mailing address
5435 JAPONICA AVE, PENSACOLA, FL 32507-8848
(850) 332-3087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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