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Organization

VILLA TRANQUIL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT BEVELHYMER LMHC, LPC (CEO)
(214) 799-3080
Entity
Organization

Contact information

Practice address
6650 W INDIANTOWN RD STE 25, JUPITER, FL 33458-4628
(214) 799-3080
Mailing address
301 PARK LAKE DR, MCKINNEY, TX 75072-8711
(214) 799-3080

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
OUT OF NETWORK
Enumeration date
03/19/2019
Last updated
06/11/2019
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