Organization
BROKEN WING'S MINISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M CARVALHO MA, LMHC, NCC (PRESIDENT)
(321) 701-3064
Entity
Organization
Contact information
Practice address
11723 BARLETTA DR, ORLANDO, FL 32827-7166
(321) 701-3064
Mailing address
11723 BARLETTA DR, ORLANDO, FL 32827-7166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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