# PALM HARBOR FAMILY COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255734935
- **Authorized official:** MS. DIANE J MANDELL LCSW, MSSA (OWNER)
- **Authorized official phone:** (727) 254-9183

## Contact information

- **Practice address:** 700 VILLAGE WAY, PALM HARBOR, FL 34683-2935
- **Practice address phone:** (727) 254-9183
- **Mailing address:** 350 ALTERNATE 19, SUITE C, PALM HARBOR, FL 34683
- **Mailing address phone:** (727) 254-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | SW11944 | FL | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 10/08/2014