Individual
ALIVIA GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-7285
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-7285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
101YM0800X
Mental Health Counselor
—
FL
1041C0700X
Clinical Social Worker
Primary
ISW14763
FL
Other
Enumeration date
06/17/2020
Last updated
04/13/2022
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