Organization
AWAKENED MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE JOY GLANCE LMHC, NCC, CCMHC (OWNER/THERAPIST)
(561) 420-4031
Entity
Organization
Contact information
Practice address
7401 WILES ROAD, SUITE 253, CORAL SPRINGS, FL 33067
(561) 420-4031
(954) 827-0297
Mailing address
7401 WILES ROAD, SUITE 253, CORAL SPRINGS, FL 33067
(561) 420-4031
(954) 827-0297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH11538
FL
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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