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Organization

YOUR SPACE WELLNESS AND CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA DRAZIN LMHC (OWNER)
(305) 308-2816
Entity
Organization

Contact information

Practice address
3580 MYSTIC POINTE DR, AVENTURA, FL 33180-2554
(305) 308-2816
Mailing address
3580 MYSTIC POINTE DR, AVENTURA, FL 33180-2554
(305) 308-2816

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MH15430
FL

Other

Enumeration date
01/28/2018
Last updated
06/16/2018
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