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Organization

MIND BODY SPIRIT THERAPIST COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARISSE REID LCSW (OWNER)
(813) 693-2516
Entity
Organization

Contact information

Practice address
9706 BEVERLY DR, TEMPLE TERRACE, FL 33617-4731
(813) 693-2516
Mailing address
9706 BEVERLY DR, TEMPLE TERRACE, FL 33617-4731
(813) 693-2516

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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Product
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