Organization
SHALANDA'S HOUSE INC
Active
Organization
SHALANDA'S HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (EXECUTIVE DIRECTOR)
(352) 931-1042
Entity
Organization
Contact information
Practice address
715 ALMOND STREET SUITE A, CLERMONT, FL 34711
(352) 931-1042
Mailing address
715 ALMOND STREET SUITE A, CLERMONT, FL 34711
(352) 931-1042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
10/24/2023
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