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Organization
PALM HARBOR FAMILY COUNSELING CENTER
Active
Organization
PALM HARBOR FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE J MANDELL LCSW, MSSA (OWNER)
(727) 254-9183
Entity
Organization
Contact information
Practice address
700 VILLAGE WAY, PALM HARBOR, FL 34683-2935
(727) 254-9183
Mailing address
350 ALTERNATE 19, SUITE C, PALM HARBOR, FL 34683
(727) 254-9183
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
SW11944
FL
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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