Organization
MISTY MOUNTAIN FAMILY ENRICHMENT CENTER
Active
Organization
MISTY MOUNTAIN FAMILY ENRICHMENT CENTER
Active
Other names
Southwest Florida Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALAN HASEK MA/MFT LPC, LMHC (EXECUTIVE DIRECTOR)
(239) 301-4464
Entity
Organization
Contact information
Practice address
24840 BURNT PINE DR, SUITES 1 & 2, BONITA SPRINGS, FL 34134-2999
(239) 301-4464
Mailing address
24840 BURNT PINE DR, SUITES 1 & 2, BONITA SPRINGS, FL 34134-2999
(239) 301-4464
(503) 684-6289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH 13637
FL
Other
Enumeration date
12/13/2009
Last updated
08/23/2016
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