| Clearpath Health Llc | |
|
2963 Gulf To Bay Blvd Ste 320 Clearwater FL 33759-4286 | |
| (786) 479-7041 | |
| Not Available |
| Full Name | Clearpath Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2963 Gulf To Bay Blvd Ste 320, Clearwater, Florida |
| Authorized Official Name and Position | Tamara P Glynn (CEO) |
| Authorized Official Contact | 7864797041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearpath Health Llc 2963 Gulf To Bay Blvd Ste 320 Clearwater FL 33759-4286 Ph: (786) 479-7041 | Clearpath Health Llc 2963 Gulf To Bay Blvd Ste 320 Clearwater FL 33759-4286 Ph: (786) 479-7041 |
| NPI Number | 1104406362 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7315343464 |
|---|---|
| Medicare Enrollment ID | O20210915001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104406362 | NPI | - | NPPES |
| 110460000 | Medicaid | FL |
| Provider Name | Lourdine Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730536632 PECOS PAC ID: 8022396860 Enrollment ID: I20161028000756 |
| Provider Name | Tamara Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215943725 PECOS PAC ID: 6103000948 Enrollment ID: I20170323002726 |
| Provider Name | Shannon Tracy Munz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649211 PECOS PAC ID: 4587099197 Enrollment ID: I20200108001688 |
| Provider Name | Holly Cholvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619265006 PECOS PAC ID: 9537577705 Enrollment ID: I20210428001503 |
| Provider Name | Kristina Browner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184081051 PECOS PAC ID: 6204298193 Enrollment ID: I20230809001346 |
| Provider Name | Corey J Mallette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811446735 PECOS PAC ID: 3476916255 Enrollment ID: I20230825003436 |
| Provider Name | Melissa Figley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336786052 PECOS PAC ID: 5092179010 Enrollment ID: I20230910000021 |
| Provider Name | Melanie Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073771044 PECOS PAC ID: 5092878447 Enrollment ID: I20230910000030 |
| Provider Name | Jessica Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215443262 PECOS PAC ID: 6901131754 Enrollment ID: I20231202000733 |
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