| Florida Psychotherapy Services Llc | |
|
106 W Windhorst Rd Brandon FL 33510-2455 | |
| (813) 373-9531 | |
| Not Available |
| Full Name | Florida Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 106 W Windhorst Rd, Brandon, Florida |
| Authorized Official Name and Position | Jomon John Thekkethottiyil (MANAGER) |
| Authorized Official Contact | 7274248423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Psychotherapy Services Llc 3835 Misty Landing Dr Valrico FL 33594-4802 Ph: (727) 424-8423 | Florida Psychotherapy Services Llc 106 W Windhorst Rd Brandon FL 33510-2455 Ph: (813) 373-9531 |
| NPI Number | 1730539941 |
|---|---|
| Provider Enumeration Date | 06/18/2016 |
| Last Update Date | 06/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730539941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10806 (Florida) | Primary |
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