Organization
TERRY MINDFULNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TERRY MSW, LCSW (PRESIDENT)
(772) 564-0406
Entity
Organization
Contact information
Practice address
333 17TH ST, SUITE 2T, VERO BEACH, FL 32960-5670
(772) 564-0406
Mailing address
333 17TH ST, SUITE 2T, VERO BEACH, FL 32960-5670
(772) 564-0406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW4258
FL
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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