| Mustard Seed Counseling Llc | |
|
13194 Us Highway 301 S Ste 210 Riverview FL 33578-7410 | |
| (929) 245-2704 | |
| Not Available |
| Full Name | Mustard Seed Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13194 Us Highway 301 S Ste 210, Riverview, Florida |
| Authorized Official Name and Position | Stephanie Jara (OWNER) |
| Authorized Official Contact | 9292452704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seed Counseling Llc 13194 Us Highway 301 S Ste 210 Riverview FL 33578-7410 Ph: () - | Mustard Seed Counseling Llc 13194 Us Highway 301 S Ste 210 Riverview FL 33578-7410 Ph: (929) 245-2704 |
| NPI Number | 1093472029 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093472029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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