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NPI Code Detail

MEDICARE: CARING COMMUNITY COUNSELING

MEDICARE: CARING COMMUNITY COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIMH12478FL

General Provider Information

NPI Number : 1790191781
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING COMMUNITY COUNSELING
Provider Business Mailing Address
First Line : 3840 5TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-7521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3840 5TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-7521
Country : US
Telephone Number : 727-367-2273
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. WANDA BARNES
Credential :
Telephone Number : 727-367-2273
Provider Enumeration Date : 07/10/2014
Last Update Date : 07/10/2014

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Directions to “CARING COMMUNITY COUNSELING ” Practice Location

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