| Enloe Bruce Billingsley Lcsw Pa | |
|
1210 Millennium Pkwy Suite 1030 Brandon FL 33511-4896 | |
| (813) 654-8916 | |
| (813) 654-6952 |
| Full Name | Enloe Bruce Billingsley Lcsw Pa |
|---|---|
| Speciality | Counselor |
| Location | 1210 Millennium Pkwy, Brandon, Florida |
| Authorized Official Name and Position | Enloe Bruce Billingsley (LCSW) |
| Authorized Official Contact | 8136548916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enloe Bruce Billingsley Lcsw Pa 1210 Millennium Parkway Suite 1030 Brandon FL 33511-4858 Ph: (813) 654-8916 | Enloe Bruce Billingsley Lcsw Pa 1210 Millennium Pkwy Suite 1030 Brandon FL 33511-4896 Ph: (813) 654-8916 |
| NPI Number | 1104177948 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104177948 | NPI | - | NPPES |
| Z1594 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | SW0000194 (Florida) | Primary |
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