Palm Harbor Family Counseling Center Inc. | |
350 Alt 19 C Palm Harbor FL 34683-5303 | |
(727) 254-9183 | |
(888) 345-7010 |
Full Name | Palm Harbor Family Counseling Center Inc. |
---|---|
Speciality | Social Worker |
Location | 350 Alt 19, Palm Harbor, Florida |
Authorized Official Name and Position | Diane J Miller Mandell (OWNER THERAPIST) |
Authorized Official Contact | 7276569665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Palm Harbor Family Counseling Center Inc. 700 Village Way Palm Harbor FL 34683-2935 Ph: (727) 254-9183 | Palm Harbor Family Counseling Center Inc. 350 Alt 19 C Palm Harbor FL 34683-5303 Ph: (727) 254-9183 |
NPI Number | 1538205885 |
---|---|
Provider Enumeration Date | 01/30/2007 |
Last Update Date | 11/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538205885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | I0005085 (Ohio) | Secondary |
104100000X | Social Worker | I0005085 (Ohio) | Primary |
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