Organization
A MINDFUL WALK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VILLA LMHC (OWNER)
(321) 289-6244
Entity
Organization
Contact information
Practice address
2000 CHENEY HWY, SUITE 103 #260, TITUSVILLE, FL 32780
(321) 289-6244
Mailing address
2000 CHENEY HWY, SUITE 103 #260, TITUSVILLE, FL 32780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
09/09/2020
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