Restoration Unfolded | |
6837 40th Ln N Pinellas Park FL 33781-6178 | |
(813) 431-3203 | |
Not Available |
Full Name | Restoration Unfolded |
---|---|
Speciality | Social Worker - Clinical |
Location | 6837 40th Ln N, Pinellas Park, Florida |
Authorized Official Name and Position | Amanda Rebecca Blackwell (DIRECTOR) |
Authorized Official Contact | 8134313203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restoration Unfolded 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: () - | Restoration Unfolded 6837 40th Ln N Pinellas Park FL 33781-6178 Ph: (813) 431-3203 |
NPI Number | 1992579692 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 04/26/2024 |
Certification Date | 04/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992579692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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