| Trinity Harbor Therapeutic Services, Inc. | |
|
7401 Wiles Rd Suite 150 Coral Springs FL 33067-2036 | |
| (954) 341-7774 | |
| (480) 287-9456 |
| Full Name | Trinity Harbor Therapeutic Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7401 Wiles Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Shawn Michelle Gordon (CLINICAL THERAPIST) |
| Authorized Official Contact | 9543417774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Harbor Therapeutic Services, Inc. 7401 Wiles Rd Suite 150 Coral Springs FL 33067-2036 Ph: (954) 341-7774 | Trinity Harbor Therapeutic Services, Inc. 7401 Wiles Rd Suite 150 Coral Springs FL 33067-2036 Ph: (954) 341-7774 |
| NPI Number | 1164535092 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164535092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 302R00000X | Health Maintenance Organization | SW8335 (Florida) | Secondary |
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