Organization
PALM HARBOR COUNSELING TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BENNETT (ADMINISTRATIVE ASSISTANT)
(727) 254-9183
Entity
Organization
Contact information
Practice address
3023 ALT 19 STE 102, PALM HARBOR, FL 34683-1930
(727) 254-9183
(888) 345-7010
Mailing address
3023 ALT 19 STE 102, PALM HARBOR, FL 34683-1930
(727) 254-9183
(888) 345-7010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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