| Agate Health & Wellness | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (904) 326-3667 | |
| Not Available |
| Full Name | Agate Health & Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Crystal Anita James (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4193448324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agate Health & Wellness 7901 4th St N St Petersburg FL 33702-4305 Ph: (904) 326-9667 | Agate Health & Wellness 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (904) 326-3667 |
| NPI Number | 1740850551 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 01/08/2022 |
| Certification Date | 01/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740850551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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