| Healthy Lifestyles Tampa Bay Llc | |
|
8479 Dr Martin Luther King Jr St N St Petersburg FL 33702 | |
| (727) 906-6185 | |
| (866) 352-2359 |
| Full Name | Healthy Lifestyles Tampa Bay Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 8479 Dr Martin Luther King Jr St N, St Petersburg, Florida |
| Authorized Official Name and Position | Thomas G Quinlan (OWNER) |
| Authorized Official Contact | 7279066185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Lifestyles Tampa Bay Llc 8479 Dr Martin Luther King Jr St N St Petersburg FL 33702-3503 Ph: (727) 906-6185 | Healthy Lifestyles Tampa Bay Llc 8479 Dr Martin Luther King Jr St N St Petersburg FL 33702 Ph: (727) 906-6185 |
| NPI Number | 1891203485 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891203485 | NPI | - | NPPES |
| PY7593 | Other | FL | PROFESSIONAL LICENSE |
| PY7593 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY7593 (Florida) | Primary |
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