| Diversity Health Services Inc | |
|
10668 New East Bay Dr Gibsonton FL 33534-5028 | |
| (813) 808-4089 | |
| Not Available |
| Full Name | Diversity Health Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 10668 New East Bay Dr, Gibsonton, Florida |
| Authorized Official Name and Position | Carolyn Redmond (OWNER) |
| Authorized Official Contact | 8138084089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Health Services Inc 10413 Hampton Meadow Way Riverview FL 33578-3406 Ph: (803) 808-4089 | Diversity Health Services Inc 10668 New East Bay Dr Gibsonton FL 33534-5028 Ph: (813) 808-4089 |
| NPI Number | 1598426074 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 1355735580 |
|---|---|
| Medicare Enrollment ID | O20220303001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598426074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn Redmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376802520 PECOS PAC ID: 8426322892 Enrollment ID: I20170922003325 |
Positive Abilities, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9402 Bullfrog Ct, Gibsonton, FL 33534 Phone: 813-335-8296 Fax: 813-671-4645 |