Organization · NPI-2

Anxious Black Girls

Counselor, Mental Health · North Lauderdale, FL

NPI number1700466869
StatusActive
Last updated in NPPESApr 13, 2021

Details

NPI
1700466869
Entity type
Organization (NPI-2)
Legal business name
Anxious Black Girls
Organization subpart
No
Enumeration date
Apr 13, 2021
Certification date
Apr 13, 2021
Last updated
Apr 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

7154 Sportsmans Dr
North Lauderdale, FL 33068-5456

Phone 718-825-1996

Mailing address

7154 Sportsmans Dr
North Lauderdale, FL 33068-5456

Phone 718-825-1996

Authorized official

Deseray Hamilton
Ceo
7188251996

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