Organization
PATHWAY OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY CROWE LMHC (LMHC/MANAGING MEMBER)
(813) 748-1386
Entity
Organization
Contact information
Practice address
324 W BEARSS AVE, SUITE B, TAMPA, FL 33613-1228
(813) 748-1386
Mailing address
PO BOX 340067, TAMPA, FL 33694-0067
(813) 748-1386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/07/2011
Last updated
12/11/2012
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