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Organization

CLEARPATH HEALTH LLC

Active
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Organization

CLEARPATH HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMARA P GLYNN LCSW (CEO)
(786) 479-7041
Entity
Organization

Contact information

Practice address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(786) 479-7041
Mailing address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(786) 479-7041

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110460000
FL
Enumeration date
04/12/2021
Last updated
02/05/2024
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