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12543 Tamiami Trl S North Port FL 34287-1446 | |
(941) 237-1199 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 12543 Tamiami Trl S, North Port, Florida |
Authorized Official Name and Position | Calvin Collins (MENTAL HEALTH THERAPIST/ DIRECTOR) |
Authorized Official Contact | 9412371199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 237-1199 | 12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 237-1199 |
NPI Number | 1114277266 |
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Provider Enumeration Date | 09/17/2012 |
Last Update Date | 09/17/2012 |
Identifier | Type | State | Issuer |
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1114277266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 11397 (Florida) | Primary |
Centerplace Health, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 Outreach Way, North Port, FL 34287 Phone: 941-529-0200 | |
Pediatric Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Oceanside St, North Port, FL 34286 Phone: 863-529-2183 | |