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Organization

FAMILY UNITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNDRA ERICA MAINE (CEO)
(954) 703-1165
Entity
Organization

Contact information

Practice address
7264 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1041
(954) 703-1165
(954) 900-4645
Mailing address
7264 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1041
(954) 703-1165
(954) 900-4645

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274569192
FL
Enumeration date
03/04/2019
Last updated
06/22/2020
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