Organization
THE FAMILY ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA VELDORALE-GRIFFIN PHD, LMFT (OWNER)
(352) 232-5525
Entity
Organization
Contact information
Practice address
4090 DELTONA BLVD, SPRING HILL, FL 34606-2203
(352) 232-5525
Mailing address
4090 DELTONA BLVD, SPRING HILL, FL 34606-2203
(352) 232-5525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477825313
INDIVIDUAL NPI
FL
Enumeration date
05/03/2016
Last updated
05/03/2016
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