Organization
PUZZLE PIECES SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KECHIA HOLLOWAY (CHIEF EXECUTIVE OFFICER)
(813) 605-5555
Entity
Organization
Contact information
Practice address
11700 N 58TH ST STE D, TEMPLE TERRACE, FL 33617-1692
(813) 605-5555
Mailing address
11700 N 58TH ST STE D, TEMPLE TERRACE, FL 33617-1692
(813) 605-5555
(888) 790-7002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
02/11/2022
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