Organization
PEACEMAKING OF THE HUMAN SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA NICHOLAS PH.D. (OWNER)
(561) 776-1660
Entity
Organization
Contact information
Practice address
5608 PGA BLVD STE 206, PALM BEACH GARDENS, FL 33418-4121
(561) 776-1660
Mailing address
524 PARK AVE, LAKE PARK, FL 33403-2604
(561) 512-8563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH7368
FL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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