Baycare Life Management | |
500 Dr Martin Luther King Jr St N Suite 202 St Petersburg FL 33705-1472 | |
(727) 820-7747 | |
(727) 820-7795 |
Full Name | Baycare Life Management |
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Speciality | Counselor - Mental Health |
Location | 500 Dr Martin Luther King Jr St N, St Petersburg, Florida |
Authorized Official Name and Position | Stever Mason (PRESIDENT) |
Authorized Official Contact | 7278208002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baycare Life Management Po Box 403974 Atlanta GA 30384-3974 Ph: (813) 852-3272 | Baycare Life Management 500 Dr Martin Luther King Jr St N Suite 202 St Petersburg FL 33705-1472 Ph: (727) 820-7747 |
NPI Number | 1518075589 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518075589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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