| Sandra Hall, Lmhc, Cap, Crc, Pa | |
|
10825 Seminole Blvd Unit 2a Largo FL 33778-3315 | |
| (727) 623-0974 | |
| (727) 623-0975 |
| Full Name | Sandra Hall, Lmhc, Cap, Crc, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10825 Seminole Blvd, Largo, Florida |
| Authorized Official Name and Position | Sandra Swary Hall (CEO) |
| Authorized Official Contact | 7276230974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Hall, Lmhc, Cap, Crc, Pa 10825 Seminole Blvd Unit 2a Largo FL 33778-3315 Ph: (727) 623-0974 | Sandra Hall, Lmhc, Cap, Crc, Pa 10825 Seminole Blvd Unit 2a Largo FL 33778-3315 Ph: (727) 623-0974 |
| NPI Number | 1467996033 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467996033 | NPI | - | NPPES |
| 767696400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MH 7586 (Florida) | Primary |
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