| Hep | |
|
1120 N Betty Ln Clearwater FL 33755-3303 | |
| (727) 442-9041 | |
| Not Available |
| Full Name | Hep |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1120 N Betty Ln, Clearwater, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hep 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9390 | Hep 1120 N Betty Ln Clearwater FL 33755-3303 Ph: (727) 442-9041 |
| NPI Number | 1629351911 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629351911 | NPI | - | NPPES |
| 060297315 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Florida) | Primary |
Loredana Repetto Lcsw & Assoc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 Phone: 727-669-3911 Fax: 727-669-3813 | |
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Renee Michaels Lcsw Cap Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Rd, Suite 203, Clearwater, FL 33765 Phone: 727-669-3811 Fax: 727-669-3813 | |
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