Premier Counseling And Wellness Llc | |
3831 Tyrone Blvd N Ste 201c St Petersburg FL 33709-4114 | |
(727) 835-8822 | |
Not Available |
Full Name | Premier Counseling And Wellness Llc |
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Speciality | Social Worker - Clinical |
Location | 3831 Tyrone Blvd N Ste 201c, St Petersburg, Florida |
Authorized Official Name and Position | Allison Nicola (LCSW) |
Authorized Official Contact | 7278358822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Counseling And Wellness Llc 3831 Tyrone Blvd N Ste 201c St Petersburg FL 33709-4114 Ph: (603) 960-1571 | Premier Counseling And Wellness Llc 3831 Tyrone Blvd N Ste 201c St Petersburg FL 33709-4114 Ph: (727) 835-8822 |
NPI Number | 1306340112 |
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Provider Enumeration Date | 03/19/2018 |
Last Update Date | 05/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306340112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW13296 (Florida) | Primary |
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