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Organization

CANDIS COUNSELING & THERAPEUTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAVASAOUS A CANDIS LMHC, CAP (OWNER/LICENSED THERAPIST)
(813) 754-1739
Entity
Organization

Contact information

Practice address
1103 N WHEELER ST STE C, PLANT CITY, FL 33563-3112
(813) 754-1739
(813) 659-1292
Mailing address
1103 N WHEELER ST STE C, PLANT CITY, FL 33563-3112
(813) 754-1739
(813) 659-1292

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11677
FL

Other

Enumeration date
10/09/2013
Last updated
10/15/2013
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