Organization
GULF COAST MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIT MORECRAFT MSN, PMHNP-BC (OWNER)
(813) 793-7407
Entity
Organization
Contact information
Practice address
10641 WHITTNGTON COURT, LARGO, FL 33773
(813) 793-7407
(313) 789-1751
Mailing address
690 MAIN ST STE 1044, SAFETY HARBOR, FL 34695-3551
(813) 793-7407
(313) 789-1751
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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