| Circle Of Life Mental Health | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (313) 759-0019 | |
| Not Available |
| Full Name | Circle Of Life Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Alexis Goss (OWNER) |
| Authorized Official Contact | 3137590019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Mental Health 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: () - | Circle Of Life Mental Health 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (313) 759-0019 |
| NPI Number | 1356117345 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356117345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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