| Sparrow's Haven Solace Center, Llc | |
|
1403 Oakfield Drive Brandon FL 33511-2800 | |
| (813) 733-8586 | |
| Not Available |
| Full Name | Sparrow's Haven Solace Center, Llc |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 1403 Oakfield Drive, Brandon, Florida |
| Authorized Official Name and Position | Melanie H. Gruner (CLINICAL PASTORAL COUNSELOR) |
| Authorized Official Contact | 8134047214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow's Haven Solace Center, Llc 1403 Oakfield Drive Brandon FL 33511-2800 Ph: (813) 733-8586 | Sparrow's Haven Solace Center, Llc 1403 Oakfield Drive Brandon FL 33511-2800 Ph: (813) 733-8586 |
| NPI Number | 1154938280 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154938280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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