| 360 Counseling Llc | |
|
2759 State Road 580 # 210213 Clearwater FL 33761-3352 | |
| (727) 804-8623 | |
| Not Available |
| Full Name | 360 Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2759 State Road 580 # 210213, Clearwater, Florida |
| Authorized Official Name and Position | Catherine B Long (OWNER) |
| Authorized Official Contact | 7278048623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Counseling Llc 2759 State Road 580 # 210213 Clearwater FL 33761-3352 Ph: (727) 804-8623 | 360 Counseling Llc 2759 State Road 580 # 210213 Clearwater FL 33761-3352 Ph: (727) 804-8623 |
| NPI Number | 1861262784 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861262784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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