| Lifespan Counseling Services Llc | |
|
14952 Newport Rd Clearwater FL 33764-7085 | |
| (727) 214-8267 | |
| Not Available |
| Full Name | Lifespan Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14952 Newport Rd, Clearwater, Florida |
| Authorized Official Name and Position | Diana Louise Casciato (OFFICE MANAGER) |
| Authorized Official Contact | 7272148267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling Services Llc 14952 Newport Rd Clearwater FL 33764-7085 Ph: (172) 721-4826 | Lifespan Counseling Services Llc 14952 Newport Rd Clearwater FL 33764-7085 Ph: (727) 214-8267 |
| NPI Number | 1588311922 |
|---|---|
| Provider Enumeration Date | 03/06/2022 |
| Last Update Date | 03/06/2022 |
| Certification Date | 03/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588311922 | NPI | - | NPPES |
| C230172637890 | Other | FL | DRIVER'S LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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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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