Organization
GOAPPROACHLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ORLANDO PICKENS II (COUNSELOR)
(919) 438-3918
Entity
Organization
Contact information
Practice address
6735 18TH AVE E, BRADENTON, FL 34208-6133
(919) 438-3918
Mailing address
6735 18TH AVE E, BRADENTON, FL 34208-6133
(919) 438-3918
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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