Organization · NPI-2

Cjm Counseling And Wellness, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Port Saint Lucie, FL

NPI number1609620012
StatusActive
Last updated in NPPESApr 12, 2024

Details

NPI
1609620012
Entity type
Organization (NPI-2)
Legal business name
Cjm Counseling And Wellness, LLC
Organization subpart
No
Enumeration date
Apr 12, 2024
Certification date
Apr 9, 2024
Last updated
Apr 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

10380 Sw Village Dr
Suite 111
Port Saint Lucie, FL 34987

Phone 754-400-0285

Mailing address

10380 Sw Village Dr
Suite 111
Port Saint Lucie, FL 34987

Phone 754-400-0285

Authorized official

Chontel A Johnson Mccallum
Ceo
7544000285

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