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Taneisha Renee Ealey
Mental Health Counselor in Miramar, Florida
NPI 1578332235

Taneisha Renee Ealey is a Mental Health Counselor based in Miramar, FL and is specialized in Mental Health. Taneisha Renee Ealey practices in Miramar, FL. The NPI Number for Taneisha Renee Ealey is 1578332235 and holds a License No. 24976 (Florida).

The current practice location address for Taneisha Renee Ealey is 16268 Sw 18Th St, Miramar, FL and can be reached out via phone at 954-744-2860.

Location: 16268 Sw 18Th St, Miramar, FL, 33027-4456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578332235
Provider Name
Taneisha Renee Ealey
Credential
Provider Entity Type
Individual
Gender
Female
Address
16268 Sw 18Th St, Miramar, FL, 33027-4456
Phone Number
954-744-2860
Fax Number
Provider Enumeration Date
12/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16268 Sw 18Th St
City
Miramar
State
Florida
Zip
33027-4456
Phone Number
954-744-2860
Fax Number
person
Provider Business Mailing Address Details
Address
16268 Sw 18Th St
City
Miramar
State
Florida
Zip
33027-4456
Phone Number
954-744-2860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
24976 (Florida)
Definition
Definition to come...
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