| Mimigrimm Ma Individual, Couple, & Family Therapy | |
|
685 Main St Suite C Safety Harbor FL 34695-3562 | |
| (727) 504-4126 | |
| (727) 216-3998 |
| Full Name | Mimigrimm Ma Individual, Couple, & Family Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 685 Main St, Safety Harbor, Florida |
| Authorized Official Name and Position | Mariann Elizabeth Grimm (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 7275044126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimigrimm Ma Individual, Couple, & Family Therapy 860 Cambridge Ct Dunedin FL 34698-6101 Ph: (727) 504-4126 | Mimigrimm Ma Individual, Couple, & Family Therapy 685 Main St Suite C Safety Harbor FL 34695-3562 Ph: (727) 504-4126 |
| NPI Number | 1649661984 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661984 | NPI | - | NPPES |
| 779438 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2514MT (Florida) | Primary |
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