# PROVIDENCE HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHS
- **Other names:** Providence Human Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912384827
- **Legal business name:** PHS
- **Authorized official:** LAUREN ALSTON LCSW (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (865) 207-3140

## Contact information

- **Practice address:** 11428B N.53 STREET, TEMPLE TERRACE, FL 33617
- **Practice address phone:** (813) 374-9416
- **Mailing address:** 4246 AUGUSTINE RD, SPRING HILL, FL 34609-2515
- **Mailing address phone:** (352) 277-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/29/2015