Organization
SPARROW'S HAVEN SOLACE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE H. GRUNER DMIN., MDIV. (CLINICAL PASTORAL COUNSELOR)
(813) 404-7214
Entity
Organization
Contact information
Practice address
1403 OAKFIELD DRIVE, BRANDON, FL 33511-2800
(813) 733-8586
Mailing address
1403 OAKFIELD DRIVE, BRANDON, FL 33511-2800
(813) 733-8586
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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