| Summit Path Mental Health Limited Liability Company | |
|
15 8th St N St Petersburg FL 33701-3614 | |
| (727) 371-6468 | |
| Not Available |
| Full Name | Summit Path Mental Health Limited Liability Company |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 8th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Jamie Hoagland (OWNER) |
| Authorized Official Contact | 7273716468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Path Mental Health Limited Liability Company 4850 Taylor St N St Petersburg FL 33714-3250 Ph: (727) 371-6468 | Summit Path Mental Health Limited Liability Company 15 8th St N St Petersburg FL 33701-3614 Ph: (727) 371-6468 |
| NPI Number | 1083455323 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083455323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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