Organization
A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN M ROTH LCSW (OWNER)
(813) 872-1525
Entity
Organization
Contact information
Practice address
2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL 33607-6551
(813) 872-1525
(813) 877-5910
Mailing address
2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL 33607-6551
(813) 872-1525
(813) 877-5910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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