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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