Organization
HEALTH AND HEALING MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE EGUSQUIZA (PSYCHOLOGIST)
(786) 210-5277
Entity
Organization
Contact information
Practice address
1599 SE LENNARD RD, PORT ST LUCIE, FL 34952-6542
(772) 323-0762
Mailing address
1599 SE LENNARD RD, PORT ST LUCIE, FL 34952-6542
(772) 323-0762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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