Organization
HEAL HER HOLISTIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNEDRA EBANKS LMHC (OWNER)
(813) 812-9246
Entity
Organization
Contact information
Practice address
1219 MILLENNIUM PKWY STE 122, BRANDON, FL 33511-3891
(813) 812-9246
Mailing address
2430 SAGEMONT DR, BRANDON, FL 33511-1744
(813) 812-9246
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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