| Support You Mental Wellness | |
|
4830 W Kennedy Blvd Ste 600 Tampa FL 33609-2584 | |
| (727) 410-5818 | |
| Not Available |
| Full Name | Support You Mental Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 4830 W Kennedy Blvd Ste 600, Tampa, Florida |
| Authorized Official Name and Position | Annielle Timmons (CEO,SPEAKER/THERAPIST) |
| Authorized Official Contact | 7274105818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Support You Mental Wellness 6421 N Florida Ave # D-1942 Tampa FL 33604-6007 Ph: (727) 410-5818 | Support You Mental Wellness 4830 W Kennedy Blvd Ste 600 Tampa FL 33609-2584 Ph: (727) 410-5818 |
| NPI Number | 1043088677 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 0648718197 |
|---|---|
| Medicare Enrollment ID | O20240814004174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043088677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Annielle Twanett Timmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992330120 PECOS PAC ID: 1557809001 Enrollment ID: I20240814004364 |
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