| Changesu | |
|
998 Emerson Drive Dunedin FL 34698 | |
| (727) 422-5659 | |
| (727) 279-4944 |
| Full Name | Changesu |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 998 Emerson Drive, Dunedin, Florida |
| Authorized Official Name and Position | Diana Saum Herring (OWNER) |
| Authorized Official Contact | 7274225659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changesu 998 Emerson Dr Dunedin FL 34698-6039 Ph: (727) 422-5659 | Changesu 998 Emerson Drive Dunedin FL 34698 Ph: (727) 422-5659 |
| NPI Number | 1578072039 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578072039 | NPI | - | NPPES |
| 1043587959 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | IMH1215 (Florida) | Primary |
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