Organization
WHOLEHEARTED THERAPY LLC
Active
Other names
Charlotte Osborne
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE OSBORNE LMHC (OWNER)
(352) 638-5847
Entity
Organization
Contact information
Practice address
1 W PARK AVE UNIT B, EUSTIS, FL 32726-2900
(863) 825-5646
Mailing address
33904 CLARA DR, LEESBURG, FL 34788-4553
(352) 638-5847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADC-011572-2015
CAP
FL
Enumeration date
02/15/2022
Last updated
02/15/2022
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