AWAKENED MIND, LLC
Agencies at Wiles Rd, Pompano Beach, FL

License number
Florida MH11538
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: ILENE JOY GLANCE LMHC, NCC, CCMHC
Title: OWNER/THERAPIST
Phone: (561) 420-4031
Address
Address
7401 Wiles Rd SUITE 253, Pompano Beach, FL 33067
National Provider ID: 1174976435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AWAKENED MIND, LLC at bizstanding.com

AWAKENED MIND, LLC

Pompano Beach, FL

Registration:
Dec 15, 2014
Addresses:
7401 Wiles Rd SUITE 228, Pompano Beach, FL 33067 (Physical)
4334 Acacia Cir, Pompano Beach, FL 33066 (Mailing)
State ID:
L14000190788
Business type:
Florida Limited Liability Company
Presidents:
Ilene J Glance (President), 4334 Acacia Cir, Pompano Beach, FL 33066 (Physical),Meredith Chadeayne (President), 22280 Calibre Ct APT 1910, Boca Raton, FL 33433 (Physical)
Agent:
Ilene Glance,7401 Wiles Rd SUITE 228, Pompano Beach, FL 33067 (Physical)
EIN:
APPLIED FOR

Agencies licenses in Florida










Other Doctors licenses in Florida