| Holistic Coaching Treatment Center | |
|
3510 1st Ave S # 226 St Petersburg FL 33711-1304 | |
| (727) 678-1751 | |
| Not Available |
| Full Name | Holistic Coaching Treatment Center |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 3510 1st Ave S # 226, St Petersburg, Florida |
| Authorized Official Name and Position | Jannet T Harper (EXECUTIVE DIRECTOR OF PROGRAMMING) |
| Authorized Official Contact | 7276781751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Coaching Treatment Center 3510 1st Ave S # 226 St Petersburg FL 33711-1304 Ph: (727) 678-1751 | Holistic Coaching Treatment Center 3510 1st Ave S # 226 St Petersburg FL 33711-1304 Ph: (727) 678-1751 |
| NPI Number | 1992286900 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992286900 | NPI | - | NPPES |
| 1063865608 | Medicaid | FL | |
| 1871048314 | Medicaid | FL | |
| 1346559820 | Medicaid | FL | |
| 1407055171 | Medicaid | FL |
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