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Organization

A HEALING PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VILMA T LONGORIA LMHC (PRESIDENT)
(850) 433-0110
Entity
Organization

Contact information

Practice address
15 W STRONG ST, SUITE 30B, PENSACOLA, FL 32501-3164
(850) 433-0110
(850) 433-0188
Mailing address
609 W CHASE ST, PENSACOLA, FL 32502-4711
(850) 433-0110
(850) 433-0188

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/09/2010
Last updated
02/22/2011
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