Organization
WARREN PSYCHIATRIC SERVICES PA
Active
Organization
WARREN PSYCHIATRIC SERVICES PA
Active
Other names
George L Warren MD Carol K Miller LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL K MILLER LCSW (SECRETARY FOR PA)
(727) 298-8338
Entity
Organization
Contact information
Practice address
516 LAKEVIEW ROAD, VILLA 9, CLEARWATER, FL 33756-3302
(727) 298-8338
(727) 298-0381
Mailing address
516 LAKEVIEW ROAD, VILLA 9, CLEARWATER, FL 33756-3302
(727) 298-8338
(727) 298-0381
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52778Z
BC/BS
—
01
—
Z5740Z
BLUE CROSS/BLUE SHIELD
—
Enumeration date
11/08/2006
Last updated
08/22/2020
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