Organization
PALM HARBOR FAMILY COUNSELING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE J MILLER MANDELL MSSA (OWNER THERAPIST)
(727) 656-9665
Entity
Organization
Contact information
Practice address
350 ALT 19, C, PALM HARBOR, FL 34683-5303
(727) 254-9183
(888) 345-7010
Mailing address
700 VILLAGE WAY, PALM HARBOR, FL 34683-2935
(727) 254-9183
(888) 345-7010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
I0005085
OH
104100000X
Social Worker
Primary
I0005085
OH
Other
Enumeration date
01/30/2007
Last updated
11/04/2014
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