Organization
HEALING SPIRIT COUNSELING CENTER, LLC
Active
Organization
HEALING SPIRIT COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN EDWARDS RD, LMHC, CIC (CEO)
(904) 214-5109
Entity
Organization
Contact information
Practice address
4609 US HIGHWAY 17 STE 1, FLEMING ISLAND, FL 32003-4818
(904) 214-5109
Mailing address
2200 MARSH HAWK LANE 305, FLEMING ISLAND, FL 32003-6334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH7879
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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