Organization
FRESH SOLUTIONS WELLNESS SERVICES & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIMAY LOIS MAXWELL LCSW (MANAGER/OWNER)
(754) 213-1619
Entity
Organization
Contact information
Practice address
5245 N UNIVERSITY DR STE A, LAUDERHILL, FL 33351-5017
(754) 213-1619
Mailing address
403 SW 61ST TER, MARGATE, FL 33068-1716
(954) 993-1578
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115481800
—
FL
Enumeration date
10/07/2020
Last updated
04/03/2023
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