Organization
BUENO HEALING HANDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LEEANN KILGORE LCSW (THERAPIST)
(407) 452-7592
Entity
Organization
Contact information
Practice address
1901 PEACH TREE BLVD, SAINT CLOUD, FL 34769-1634
(407) 452-7592
Mailing address
1901 PEACH TREE BLVD, SAINT CLOUD, FL 34769-1634
(407) 452-7592
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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