| Lifespring Therapy, Pllc | |
|
10300 49th St N Ste 526 Clearwater FL 33762-5000 | |
| (754) 300-6325 | |
| Not Available |
| Full Name | Lifespring Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10300 49th St N Ste 526, Clearwater, Florida |
| Authorized Official Name and Position | Mark Miller (MEMBER) |
| Authorized Official Contact | 7543006325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring Therapy, Pllc 8021 28th Ave N St Petersburg FL 33710-2864 Ph: (754) 300-6325 | Lifespring Therapy, Pllc 10300 49th St N Ste 526 Clearwater FL 33762-5000 Ph: (754) 300-6325 |
| NPI Number | 1215695432 |
|---|---|
| Provider Enumeration Date | 12/05/2021 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215695432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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