| Swandive Counseling Llc | |
|
4215 Water Oaks Ln Tampa FL 33618-8633 | |
| (813) 294-6931 | |
| Not Available |
| Full Name | Swandive Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4215 Water Oaks Ln, Tampa, Florida |
| Authorized Official Name and Position | Stephanie Clark (MANAGING MEMBER) |
| Authorized Official Contact | 8132946931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swandive Counseling Llc 4215 Water Oaks Ln Tampa FL 33618-8633 Ph: () - | Swandive Counseling Llc 4215 Water Oaks Ln Tampa FL 33618-8633 Ph: (813) 294-6931 |
| NPI Number | 1093488652 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093488652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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