| Grow And Glow Behavioral Health Llc | |
|
11001 Golden Silence Dr Riverview FL 33579-2341 | |
| (305) 494-2843 | |
| Not Available |
| Full Name | Grow And Glow Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11001 Golden Silence Dr, Riverview, Florida |
| Authorized Official Name and Position | Blair-tiffany Mccormick (OWNER) |
| Authorized Official Contact | 8137018161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow And Glow Behavioral Health Llc 11001 Golden Silence Dr Riverview FL 33579-2341 Ph: (305) 494-2843 | Grow And Glow Behavioral Health Llc 11001 Golden Silence Dr Riverview FL 33579-2341 Ph: (305) 494-2843 |
| NPI Number | 1669251088 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 8123474863 |
|---|---|
| Medicare Enrollment ID | O20231101000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669251088 | NPI | - | NPPES |
| Provider Name | Blair-tiffany Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093324790 PECOS PAC ID: 9032565775 Enrollment ID: I20231101000167 |
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