Organization
EMOTIONAL WELLNESS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E CLARK II LMHC (OWNER)
(863) 537-0524
Entity
Organization
Contact information
Practice address
8541 JAMESTOWN DR, WINTER HAVEN, FL 33884-4836
(863) 537-0524
Mailing address
8541 JAMESTOWN DR, WINTER HAVEN, FL 33884-4836
(863) 537-0524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
04/15/2026
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