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Organization

HEALING GENERATIONS WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEOLA WITHERSPOON (EXECUTIVE DIRECTOR)
(954) 914-4139
Entity
Organization

Contact information

Practice address
1001 NW 62ND ST, FORT LAUDERDALE, FL 33309-1900
(954) 914-4139
Mailing address
1001 NW 62ND ST, FORT LAUDERDALE, FL 33309-1900
(954) 914-4139

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
324500000X
Substance Abuse Rehabilitation Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
05/26/2026
Last updated
05/26/2026
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