| South Bay Counseling, Llc | |
|
5995 Dr Martin Luther King Jr St S Saint Petersburg FL 33705-5541 | |
| (727) 698-0624 | |
| (727) 867-2556 |
| Full Name | South Bay Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5995 Dr Martin Luther King Jr St S, Saint Petersburg, Florida |
| Authorized Official Name and Position | John Andrew Bell (OWNER/MANAGER) |
| Authorized Official Contact | 7276980624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Counseling, Llc 5995 Dr Martin Luther King Jr St S Saint Petersburg FL 33705-5541 Ph: (727) 698-0624 | South Bay Counseling, Llc 5995 Dr Martin Luther King Jr St S Saint Petersburg FL 33705-5541 Ph: (727) 698-0624 |
| NPI Number | 1710591383 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710591383 | NPI | - | NPPES |
| SW6542 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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