Organization
PROVIDENCE HUMAN SERVICES
Active
Parent organization
PHS
Other names
Providence Human Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHS
Authorized official
LAUREN ALSTON LCSW (DIRECTOR OF CLINICAL SERVICES)
(865) 207-3140
Entity
Organization
Contact information
Practice address
11428B N.53 STREET, TEMPLE TERRACE, FL 33617
(813) 374-9416
Mailing address
4246 AUGUSTINE RD, SPRING HILL, FL 34609-2515
(352) 277-2152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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