Organization
VILLAGES MIND AND BODY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA MARIE HOUGHTON (OFFICE MANAGER)
(352) 633-0614
Entity
Organization
Contact information
Practice address
324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
(352) 633-0614
(866) 684-9990
Mailing address
324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
(352) 633-0614
(866) 684-9990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-007797-2015
FL
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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