Modern Mental Health Llc | |
3000 Gulf To Bay Blvd Ste 312 Clearwater FL 33759-4304 | |
(727) 279-0101 | |
Not Available |
Full Name | Modern Mental Health Llc |
---|---|
Speciality | Psychologist - Group Psychotherapy |
Location | 3000 Gulf To Bay Blvd Ste 312, Clearwater, Florida |
Authorized Official Name and Position | Jaclyn Matthews (OWNER) |
Authorized Official Contact | 8482999329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Mental Health Llc 1221 34th Ave N St Petersburg FL 33704-1842 Ph: (848) 299-9329 | Modern Mental Health Llc 3000 Gulf To Bay Blvd Ste 312 Clearwater FL 33759-4304 Ph: (727) 279-0101 |
NPI Number | 1487271763 |
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Provider Enumeration Date | 07/02/2020 |
Last Update Date | 07/02/2020 |
Certification Date | 07/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487271763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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