Organization
AND RECOVERY & BEHAVIORAL HEALTH LLC
Active
Other names
AND RECOVERY & BEHAVIORAL HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA DIXON (OWNER)
(727) 557-7941
Entity
Organization
Contact information
Practice address
4711 2ND AVE S, ST PETERSBURG, FL 33711-1013
(727) 557-7941
Mailing address
4711 2ND AVE S, ST PETERSBURG, FL 33711-1013
(727) 557-7941
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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