| The Growth Center,pllc | |
|
2647 Narnia Way Land O Lakes FL 34638-7233 | |
| (813) 994-5595 | |
| Not Available |
| Full Name | The Growth Center,pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2647 Narnia Way, Land O Lakes, Florida |
| Authorized Official Name and Position | Thomas Antonek (PSYCHOLOGIST) |
| Authorized Official Contact | 8139945595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Growth Center,pllc 2647 Narnia Way Land O Lakes FL 34638-7233 Ph: (813) 994-5595 | The Growth Center,pllc 2647 Narnia Way Land O Lakes FL 34638-7233 Ph: (813) 994-5595 |
| NPI Number | 1366989097 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366989097 | NPI | - | NPPES |
| 5NB27 | Other | FL | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10508 (ZZ) | Secondary |
| 103T00000X | Psychologist | PY6278 (ZZ) | Primary |
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