Organization
GLORIOUS HANDS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEMEDONTAE BROWN (EXECUTIVE DIRECTOR)
(407) 474-4864
Entity
Organization
Contact information
Practice address
609 W 9TH ST, SANFORD, FL 32771-2401
(407) 474-4864
Mailing address
609 W 9TH ST, SANFORD, FL 32771-2401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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