Organization
CULTIVATE4EXCELLENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAMISHA FORD BSW, MNP (MENTOR)
(304) 982-9644
Entity
Organization
Contact information
Practice address
13375 ARBOR POINTE CIR APT 101, TAMPA, FL 33617-1141
(304) 982-9644
Mailing address
13375 ARBOR POINTE CIR APT 101, TAMPA, FL 33617-1141
(304) 982-9644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/04/2021
Last updated
03/21/2021
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