| Safe Harbor Counseling L.l.c. | |
|
801 W Bay Dr Ste 111 Largo FL 33770-3269 | |
| (727) 510-4468 | |
| Not Available |
| Full Name | Safe Harbor Counseling L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 W Bay Dr Ste 111, Largo, Florida |
| Authorized Official Name and Position | Clare W. Simcox (OWNER) |
| Authorized Official Contact | 7275104468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Counseling L.l.c. 801 W Bay Dr Ste 111 Largo FL 33770-3269 Ph: (727) 510-4468 | Safe Harbor Counseling L.l.c. 801 W Bay Dr Ste 111 Largo FL 33770-3269 Ph: (727) 510-4468 |
| NPI Number | 1285193425 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/18/2019 |
| Medicare PECOS PAC ID | 7214389964 |
|---|---|
| Medicare Enrollment ID | O20240117004812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285193425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Clare Simcox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538203567 PECOS PAC ID: 8123470879 Enrollment ID: I20240117004823 |
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