Organization
BRANDON PSYCHIATRY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA ANNA SPANOS M.S.W. (PRESIDENT)
(813) 967-1376
Entity
Organization
Contact information
Practice address
401 N PARSONS AVE, SUITE 107 A, BRANDON, FL 33510-4538
(813) 967-1376
(813) 681-5958
Mailing address
401 N PARSONS AVE, SUITE 107 A, BRANDON, FL 33510-4538
(813) 967-1376
(813) 681-5958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5979
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
BK4208016
FL
2084P0804X
Child & Adolescent Psychiatry Physician
47310
FL
Other
Enumeration date
06/19/2012
Last updated
06/22/2012
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