| Cooperative Coaching Concepts | |
|
3607 Alt 19 Ste B Palm Harbor FL 34683-1412 | |
| (727) 505-2155 | |
| (727) 796-0158 |
| Full Name | Cooperative Coaching Concepts |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3607 Alt 19 Ste B, Palm Harbor, Florida |
| Authorized Official Name and Position | Matthew Howe Welch (OWNER) |
| Authorized Official Contact | 7275052155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooperative Coaching Concepts 686 Roanoke St Dunedin FL 34698-8421 Ph: (727) 505-2155 | Cooperative Coaching Concepts 3607 Alt 19 Ste B Palm Harbor FL 34683-1412 Ph: (727) 505-2155 |
| NPI Number | 1619493970 |
|---|---|
| Provider Enumeration Date | 08/18/2017 |
| Last Update Date | 08/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619493970 | NPI | - | NPPES |
| 015005342 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT2587 (Florida) | Primary |
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