Pathways In Bloom Psychological Services, Llc | |
625 Commerce Drive Suite 104 Lakeland FL 33813 | |
(702) 326-6959 | |
Not Available |
Full Name | Pathways In Bloom Psychological Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 625 Commerce Drive, Lakeland, Florida |
Authorized Official Name and Position | Daniella Marie Vasquez (OWNER/LICENSED CLINICAL PSYCHOLOGIS) |
Authorized Official Contact | 8134363588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pathways In Bloom Psychological Services, Llc 13194 Us Highway 301 S # 272 Riverview FL 33578-7410 Ph: (702) 326-6959 | Pathways In Bloom Psychological Services, Llc 625 Commerce Drive Suite 104 Lakeland FL 33813 Ph: (702) 326-6959 |
NPI Number | 1306503644 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 04/12/2024 |
Certification Date | 04/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306503644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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