Positive Abilities, Llc | |
9402 Bullfrog Ct Gibsonton FL 33534-5100 | |
(813) 335-8296 | |
(813) 671-4645 |
Full Name | Positive Abilities, Llc |
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Speciality | Community/behavioral Health |
Location | 9402 Bullfrog Ct, Gibsonton, Florida |
Authorized Official Name and Position | Amy M Wagner (CERT. ASSISTANT BEHAVIOR ANALYST) |
Authorized Official Contact | 8133358296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Positive Abilities, Llc Po Box 1275 Riverview FL 33568-1275 Ph: (813) 335-8296 | Positive Abilities, Llc 9402 Bullfrog Ct Gibsonton FL 33534-5100 Ph: (813) 335-8296 |
NPI Number | 1477719219 |
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Provider Enumeration Date | 07/31/2008 |
Last Update Date | 07/15/2010 |
Identifier | Type | State | Issuer |
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1477719219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Diversity Health Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10668 New East Bay Dr, Gibsonton, FL 33534 Phone: 813-808-4089 |