Organization
CLEARPATH HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA P GLYNN LCSW (CEO)
(786) 479-7041
Entity
Organization
Contact information
Practice address
1837 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5529
(772) 348-0900
(727) 241-7050
Mailing address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(727) 241-8800
(727) 241-7050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110460000
—
FL
Enumeration date
08/12/2021
Last updated
09/02/2025
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