Organization
INNER GROWTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA MALDONADO LMHC MH12067 (PRESIDENT)
(407) 233-1866
Entity
Organization
Contact information
Practice address
13574 VILLAGE PARK DR STE 240, ORLANDO, FL 32837-7695
(407) 233-1866
Mailing address
13574 VILLAGE PARK DR STE 240, ORLANDO, FL 32837-7695
(407) 233-1866
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH12067
FL
Other
Enumeration date
03/29/2018
Last updated
08/17/2018
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