Individual
GUY A WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF DIVINITY
Contact information
Practice address
4330 W BROWARD BLVD, SUITE R, PLANTATION, FL 33317-3775
(954) 797-1617
(954) 797-1617
Mailing address
4330 W BROWARD BLVD, STE R, PLANTATION, FL 33317-3775
(954) 797-1617
(954) 797-1618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
FL
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/18/2007
Last updated
05/29/2013
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