Organization
BRAIN EMPOWERMENT LLC
Active
Other names
Brain Empowerment LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISIANE GONCALVES FIDALGO LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(617) 953-8077
Entity
Organization
Contact information
Practice address
8618 PALMER PARK CIR, SARASOTA, FL 34238-2405
(617) 953-8077
Mailing address
8618 PALMER PARK CIR, SARASOTA, FL 34238-2405
(617) 953-8077
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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