Organization
HEALTHY SELF MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGENTA HALL MSN, APRN (OWNER OF ENTITY)
(850) 879-1164
Entity
Organization
Contact information
Practice address
1010 CAPITAL CIRCLE SW, TALLAHASSEE, FL 32304-9261
(850) 879-1164
(850) 848-6543
Mailing address
8759 GREENRIDGE LN, TALLAHASSEE, FL 32312-3696
(850) 879-1164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
12/30/2022
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