| All Star Children's Foundation | |
|
3300 17th St Sarasota FL 34235-8904 | |
| (941) 259-3699 | |
| (941) 960-1123 |
| Full Name | All Star Children's Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3300 17th St, Sarasota, Florida |
| Authorized Official Name and Position | Ladonna Clark (ACCOUNTANT) |
| Authorized Official Contact | 9412593699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Star Children's Foundation 3300 17th St Sarasota FL 34235-8904 Ph: (941) 259-3699 | All Star Children's Foundation 3300 17th St Sarasota FL 34235-8904 Ph: (941) 259-3699 |
| NPI Number | 1710651583 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710651583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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