Organization
COOPERATIVE COACHING CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW HOWE WELCH LMFT (OWNER)
(727) 505-2155
Entity
Organization
Contact information
Practice address
3607 ALT 19 STE B, PALM HARBOR, FL 34683-1412
(727) 505-2155
(727) 796-0158
Mailing address
686 ROANOKE ST, DUNEDIN, FL 34698-8421
(727) 505-2155
(727) 796-0158
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015005342
—
FL
Enumeration date
08/18/2017
Last updated
08/18/2017
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