| An Awakened Heart Psychological Approaches Tomentalhealth Wellness Llc | |
|
4100 W Kennedy Blvd 327 Tampa FL 33609-2288 | |
| (727) 692-7364 | |
| Not Available |
| Full Name | An Awakened Heart Psychological Approaches Tomentalhealth Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4100 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Keesha Monaie Sullivan (OWNER) |
| Authorized Official Contact | 7276927364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Awakened Heart Psychological Approaches Tomentalhealth Wellness Llc 8450 112th St Apt 104 Seminole FL 33772-4221 Ph: () - | An Awakened Heart Psychological Approaches Tomentalhealth Wellness Llc 4100 W Kennedy Blvd 327 Tampa FL 33609-2288 Ph: (727) 692-7364 |
| NPI Number | 1841639929 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841639929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW 11227 (Florida) | Primary |
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