LAUREL GRACE MENTAL HEALTH AND WELLNESS

THONOTOSASSA, FL
NPI1154024966
Entity TypeOrganization
Authorized ContactLALENCIA L MATTHEWS
CEO
612-388-4661
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
LAUREL GRACE MENTAL HEALTH AND WELLNESS
9614 TRONCAIS CIR
THONOTOSASSA, FL 33592-3412
Phone number: 612-388-4661
Mailing Address
LAUREL GRACE MENTAL HEALTH AND WELLNESS
9614 TRONCAIS CIR
THONOTOSASSA, FL 33592-3412
Phone number: 612-388-4661
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