Organization
GROWING BRANCHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WAGNER LMHC LMFT (OWNER)
(407) 488-9043
Entity
Organization
Contact information
Practice address
7345 W SAND LAKE RD STE 303, ORLANDO, FL 32819-5205
(407) 488-9043
Mailing address
12190 CANYON SUN TRL, WINDERMERE, FL 34786-6537
(407) 488-9043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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