Organization
SUCCESS 4 KIDS AND FAMILIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA C JEFFRE LCSW (EXECUTIVE DIRECTOR)
(813) 871-7412
Entity
Organization
Contact information
Practice address
2902 N ARMENIA AVE, STE 200, TAMPA, FL 33607-1660
(813) 490-5490
(813) 490-5495
Mailing address
2902 N ARMENIA AVE, STE 200, TAMPA, FL 33607-1660
(813) 490-5490
(813) 490-5495
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
1329AD353201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008256400
—
FL
05
—
913554500
—
FL
Enumeration date
12/12/2006
Last updated
07/08/2024
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