Organization
PURPLE PETALS HEALING BAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAYLA YARNELL CRAWFORD LMHC (OWNER)
(407) 347-6147
Entity
Organization
Contact information
Practice address
213 S DILLARD ST #220D, WINTER GARDEN, FL 34787
(407) 347-4164
Mailing address
3065 DANIELS RD # 1004, WINTER GARDEN, FL 34787-7002
(407) 347-4164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/28/2021
Last updated
03/29/2024
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