Organization
DEBORAH A CLEMENTS LMHC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A CLEMENTS LMHC (OWNER)
(813) 625-6055
Entity
Organization
Contact information
Practice address
275 4TH ST N, ST PETERSBURG, FL 33701-3205
(813) 625-6055
(727) 823-8082
Mailing address
PO BOX 76423, ST PETERSBURG, FL 33734-6423
(813) 625-6055
(727) 823-8082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH10350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592092717
—
FL
Enumeration date
08/03/2015
Last updated
08/03/2015
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