| The Holistic Mental Health Clinic | |
|
6161 Dr Mlk Jr St N Ste 204 Saint Petersburg FL 33703 | |
| (727) 520-9447 | |
| (727) 520-9444 |
| Full Name | The Holistic Mental Health Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6161 Dr Mlk Jr St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | George W Nelson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7275991292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Holistic Mental Health Clinic 6161 Dr Mlk Jr St N Ste 204 Saint Petersburg FL 33703 Ph: (727) 520-9447 | The Holistic Mental Health Clinic 6161 Dr Mlk Jr St N Ste 204 Saint Petersburg FL 33703 Ph: (727) 520-9447 |
| NPI Number | 1073396594 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073396594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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