Tri-county Counseling & Life Skills Center | |
12543 Tamiami Trl S North Port FL 34287-1446 | |
(941) 429-3721 | |
(941) 257-8395 |
Full Name | Tri-county Counseling & Life Skills Center |
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Speciality | Counselor - Mental Health |
Location | 12543 Tamiami Trl S, North Port, Florida |
Authorized Official Name and Position | Thomas George Glaza (CEO CLINICAL DIRECTOR) |
Authorized Official Contact | 9418763060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri-county Counseling & Life Skills Center 12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 429-3721 | Tri-county Counseling & Life Skills Center 12543 Tamiami Trl S North Port FL 34287-1446 Ph: (941) 429-3721 |
NPI Number | 1972647899 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 11/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972647899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | SR-58-AD-2079-01 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Centerplace Health, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 Outreach Way, North Port, FL 34287 Phone: 941-529-0200 | |
Pediatric Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Oceanside St, North Port, FL 34286 Phone: 863-529-2183 | |