| Deborah A Clements Lmhc Pa | |
|
275 4th St N St Petersburg FL 33701-3205 | |
| (813) 625-6055 | |
| (727) 823-8082 |
| Full Name | Deborah A Clements Lmhc Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 275 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Deborah A Clements (OWNER) |
| Authorized Official Contact | 8136256055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A Clements Lmhc Pa Po Box 76423 St Petersburg FL 33734-6423 Ph: (813) 625-6055 | Deborah A Clements Lmhc Pa 275 4th St N St Petersburg FL 33701-3205 Ph: (813) 625-6055 |
| NPI Number | 1811373780 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811373780 | NPI | - | NPPES |
| 592092717 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH10350 (Florida) | Primary |
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