| Palm Harbor Family Counseling Center Inc. | |
|
350 Alt 19 C Palm Harbor FL 34683-5303 | |
| (727) 254-9183 | |
| (888) 345-7010 |
| Full Name | Palm Harbor Family Counseling Center Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 350 Alt 19, Palm Harbor, Florida |
| Authorized Official Name and Position | Diane J Miller Mandell (OWNER THERAPIST) |
| Authorized Official Contact | 7276569665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Harbor Family Counseling Center Inc. 700 Village Way Palm Harbor FL 34683-2935 Ph: (727) 254-9183 | Palm Harbor Family Counseling Center Inc. 350 Alt 19 C Palm Harbor FL 34683-5303 Ph: (727) 254-9183 |
| NPI Number | 1538205885 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538205885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | I0005085 (Ohio) | Secondary |
| 104100000X | Social Worker | I0005085 (Ohio) | Primary |
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