Organization
CLEARPATH HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA P GLYNN (CEO)
(727) 241-7050
Entity
Organization
Contact information
Practice address
1938 DAIRY RD, WEST MELBOURNE, FL 32904-4046
(321) 574-0888
(727) 241-4499
Mailing address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(727) 741-8800
(727) 241-4499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/10/2023
Last updated
02/05/2024
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