Organization
ANXIOUS BLACK GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESERAY HAMILTON LMHC (CEO)
(718) 825-1996
Entity
Organization
Contact information
Practice address
7154 SPORTSMANS DR, NORTH LAUDERDALE, FL 33068-5456
(718) 825-1996
Mailing address
7154 SPORTSMANS DR, NORTH LAUDERDALE, FL 33068-5456
(718) 825-1996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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