Swandive Counseling Llc | |
4215 Water Oaks Ln Tampa FL 33618-8633 | |
(813) 294-6931 | |
Not Available |
Full Name | Swandive Counseling Llc |
---|---|
Speciality | Counselor - Professional |
Location | 4215 Water Oaks Ln, Tampa, Florida |
Authorized Official Name and Position | Stephanie Clark (MANAGING MEMBER) |
Authorized Official Contact | 8132946931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Swandive Counseling Llc 4215 Water Oaks Ln Tampa FL 33618-8633 Ph: () - | Swandive Counseling Llc 4215 Water Oaks Ln Tampa FL 33618-8633 Ph: (813) 294-6931 |
NPI Number | 1093488652 |
---|---|
Provider Enumeration Date | 07/29/2021 |
Last Update Date | 07/29/2021 |
Certification Date | 07/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093488652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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