| The Costello Center | |
|
8081 38th Ave N Saint Petersburg FL 33710-1029 | |
| (727) 345-2667 | |
| (727) 209-2667 |
| Full Name | The Costello Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8081 38th Ave N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Kim E. Costello (PRESIDENT) |
| Authorized Official Contact | 7273452667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Costello Center 8081 38th Ave N Saint Petersburg FL 33710-1029 Ph: (727) 345-2667 | The Costello Center 8081 38th Ave N Saint Petersburg FL 33710-1029 Ph: (727) 345-2667 |
| NPI Number | 1386889145 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386889145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7394 (Florida) | Primary |
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