Organization
RENEW A BODY MIND STRATEGY
Active
Other names
Shawn Davis LCSW PA
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN DAVIS LCSW (PRESIDENT)
(813) 999-0955
Entity
Organization
Contact information
Practice address
17633 GUNN HWY # 325, ODESSA, FL 33556-1912
(813) 999-0955
(813) 607-6788
Mailing address
17633 GUNN HWY # 325, ODESSA, FL 33556-1912
(813) 999-0955
(813) 607-6788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW8463
FL
Other
Enumeration date
08/04/2008
Last updated
04/01/2020
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