| Pathways In Bloom Psychological Services, Llc | |
|
625 Commerce Drive Suite 104 Lakeland FL 33813 | |
| (702) 326-6959 | |
| Not Available |
| Full Name | Pathways In Bloom Psychological Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 625 Commerce Drive, Lakeland, Florida |
| Authorized Official Name and Position | Daniella Marie Vasquez (OWNER/LICENSED CLINICAL PSYCHOLOGIS) |
| Authorized Official Contact | 8134363588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways In Bloom Psychological Services, Llc 13194 Us Highway 301 S # 272 Riverview FL 33578-7410 Ph: (702) 326-6959 | Pathways In Bloom Psychological Services, Llc 625 Commerce Drive Suite 104 Lakeland FL 33813 Ph: (702) 326-6959 |
| NPI Number | 1306503644 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306503644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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