Impact Trauma Counseling Llc | |
2701 Park Dr Ste 2and7 Clearwater FL 33763-1021 | |
(727) 906-7221 | |
Not Available |
Full Name | Impact Trauma Counseling Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2701 Park Dr Ste 2and7, Clearwater, Florida |
Authorized Official Name and Position | Brian G Wolstein (OWNER) |
Authorized Official Contact | 7279067221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Impact Trauma Counseling Llc Po Box 7982 Seminole FL 33775-7982 Ph: () - | Impact Trauma Counseling Llc 2701 Park Dr Ste 2and7 Clearwater FL 33763-1021 Ph: (727) 906-7221 |
NPI Number | 1467152645 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 03/07/2023 |
Certification Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467152645 | NPI | - | NPPES |
123 | Other | FL | NONE |
NONE | Other | NONE |
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