Organization
NAYWY, LLC
Active
Organization
NAYWY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY COONS (OWNER)
(404) 805-3791
Entity
Organization
Contact information
Practice address
510 VONDERBURG DR STE 104, BRANDON, FL 33511-6047
(813) 641-4040
(813) 845-0636
Mailing address
510 VONDERBURG DR STE 104, BRANDON, FL 33511-6047
(813) 641-4040
(813) 845-0636
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
11/08/2018
Last updated
09/08/2024
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