| Sunshine Behavior Momentum, LLC | |
|
711 Parsons Pointe St Seffner FL 33584-7804 | |
| (813) 530-4428 | |
| Not Available |
| Full Name | Sunshine Behavior Momentum, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 Parsons Pointe St, Seffner, Florida |
| Authorized Official Name and Position | Kiblena Wallace (ADMINISTRATOR) |
| Authorized Official Contact | 8135304428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Behavior Momentum, LLC 711 Parsons Pointe St Seffner FL 33584-7804 | Sunshine Behavior Momentum, LLC 711 Parsons Pointe St Seffner FL 33584-7804 Ph: (813) 530-4428 |
| NPI Number | 1639787237 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639787237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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