NPI | 1063129328 |
---|---|
Former Legal Business Name | DR SHELLY LAVONNE |
Doing Business As | DR SHELLY LAVONNE |
Entity Type | Organization |
Authorized Contact | SHELLY LAVONNE BEST CEO, Counselor 407-607-7191 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2022-11-04 |
Last Update Date | 2022-11-04 |