| Pathway Of Florida, Llc | |
|
324 W Bearss Ave Suite B Tampa FL 33613-1228 | |
| (813) 748-1386 | |
| Not Available |
| Full Name | Pathway Of Florida, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 324 W Bearss Ave, Tampa, Florida |
| Authorized Official Name and Position | Kelly Crowe (LMHC/MANAGING MEMBER) |
| Authorized Official Contact | 8137481386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Of Florida, Llc Po Box 340067 Tampa FL 33694-0067 Ph: (813) 748-1386 | Pathway Of Florida, Llc 324 W Bearss Ave Suite B Tampa FL 33613-1228 Ph: (813) 748-1386 |
| NPI Number | 1336447960 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336447960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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