| Heroic Health Group Llc | |
|
6701 49th St N Pinellas Park FL 33781-5728 | |
| (727) 386-9549 | |
| (727) 592-1123 |
| Full Name | Heroic Health Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 6701 49th St N, Pinellas Park, Florida |
| Authorized Official Name and Position | Matthew Fahy (LEAD THERAPIST) |
| Authorized Official Contact | 7273869549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heroic Health Group Llc Po Box 2525 Largo FL 33779 Ph: (727) 386-9549 | Heroic Health Group Llc 6701 49th St N Pinellas Park FL 33781-5728 Ph: (727) 386-9549 |
| NPI Number | 1194364844 |
|---|---|
| Provider Enumeration Date | 12/29/2019 |
| Last Update Date | 08/14/2021 |
| Certification Date | 08/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194364844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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