| Atunwa Psychological And Community Outreach Services, Llc | |
|
1512 Blountstown St Tallahassee FL 32304-1109 | |
| (850) 299-4991 | |
| (850) 390-4095 |
| Full Name | Atunwa Psychological And Community Outreach Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1512 Blountstown St, Tallahassee, Florida |
| Authorized Official Name and Position | Jermaine Robertson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8502994991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atunwa Psychological And Community Outreach Services, Llc Po Box 15262 Tallahassee FL 32317-5262 Ph: () - | Atunwa Psychological And Community Outreach Services, Llc 1512 Blountstown St Tallahassee FL 32304-1109 Ph: (850) 299-4991 |
| NPI Number | 1053918292 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053918292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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