Organization
TEAMHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE MCCULLOUGH (COUNSELOR)
(813) 253-6250
Entity
Organization
Contact information
Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
(813) 253-6250
Mailing address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH7180
FL
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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