Organization
GRACE FROM DARKNESS, PLLC
Active
Other names
Deyanira Baldera
Organization subpart
No
Provider details
NPI number
Authorized official
DEYANIRA BALDERA LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(718) 872-8456
Entity
Organization
Contact information
Practice address
1515 N UNIVERSITY DR STE 102A, CORAL SPRINGS, FL 33071-6083
(718) 872-8456
Mailing address
1515 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6096
(718) 872-8456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH13131
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH13131
FL
101YM0800X
Mental Health Counselor
MH13131
FL
251B00000X
Case Management Agency
MH13131
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH13131
FL
Other
Enumeration date
03/09/2018
Last updated
01/18/2024
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