Organization
AURILIA'S PLACE A PLACE TO CALL HOME LLC
Active
Other names
Aurilia's A place of wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AURILIA JOANN GRAY-GRIMES LICENSED MHC (PRESIDENT/COUNSELOR)
(754) 249-6359
Entity
Organization
Contact information
Practice address
744 NW 12TH AVE, FORT LAUDERDALE, FL 33311-7102
(754) 249-6359
Mailing address
2551 NW 103RD AVE APT 109, SUNRISE, FL 33322-6805
(754) 249-6359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770047797
—
FL
Enumeration date
02/03/2021
Last updated
02/03/2021
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