Organization
INJURY TRAUMA COUNSELORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HOBAN (REGISTERED AGENT)
(310) 864-4216
Entity
Organization
Contact information
Practice address
3000 GULF TO BAY BLVD STE 213, CLEARWATER, FL 33759-4304
(310) 864-4216
Mailing address
2397 WIND GAP PL, CLEARWATER, FL 33765-1743
(310) 864-4216
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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