| William Macleod & Gael Macleod Ptr | |
|
4601 W Kennedy Blvd Suite 206 Tampa FL 33609-2500 | |
| (813) 288-8010 | |
| (813) 288-8030 |
| Full Name | William Macleod & Gael Macleod Ptr |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4601 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Gael Stephanie Macleod (OWNER) |
| Authorized Official Contact | 8132888010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Macleod & Gael Macleod Ptr 4601 W Kennedy Blvd Suite 206 Tampa FL 33609-2500 Ph: (813) 288-8010 | William Macleod & Gael Macleod Ptr 4601 W Kennedy Blvd Suite 206 Tampa FL 33609-2500 Ph: (813) 288-8010 |
| NPI Number | 1871790949 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871790949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2314 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH6004 (Florida) | Primary |
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