| Eagle Vision Consulting & Life Enrichment Services, Inc. | |
|
132 10th Ave N Suite 103 Safety Harbor FL 34695-3407 | |
| (727) 791-8040 | |
| (727) 791-8045 |
| Full Name | Eagle Vision Consulting & Life Enrichment Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 132 10th Ave N, Safety Harbor, Florida |
| Authorized Official Name and Position | Candice Kay Stewart-sabin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7277918040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Vision Consulting & Life Enrichment Services, Inc. Po Box 627 Safety Harbor FL 34695-0627 Ph: (727) 791-8040 | Eagle Vision Consulting & Life Enrichment Services, Inc. 132 10th Ave N Suite 103 Safety Harbor FL 34695-3407 Ph: (727) 791-8040 |
| NPI Number | 1114950664 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114950664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7296 (Florida) | Primary |
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