| Foundations For Growth, Pllc | |
|
4100 W Kennedy Blvd Suite 326 Tampa FL 33609-2288 | |
| (813) 773-5767 | |
| Not Available |
| Full Name | Foundations For Growth, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4100 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Audra Coons (CO-FOUNDER) |
| Authorized Official Contact | 8137735767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations For Growth, Pllc 4100 W Kennedy Blvd Suite 326 Tampa FL 33609-2288 Ph: (813) 773-5767 | Foundations For Growth, Pllc 4100 W Kennedy Blvd Suite 326 Tampa FL 33609-2288 Ph: (813) 773-5767 |
| NPI Number | 1366981946 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366981946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13435 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | SW13287 (Florida) | Secondary |
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