Healthcare Provider Details

I. General information

NPI: 1174787808
Provider Name (Legal Business Name): PARTNERSHIP FOR CHILDREN & FAMILIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10939 KENMORE DR
NEW PORT RICHEY FL
34654-6039
US

IV. Provider business mailing address

10939 KENMORE DR
NEW PORT RICHEY FL
34654-6039
US

V. Phone/Fax

Practice location:
  • Phone: 813-464-0846
  • Fax:
Mailing address:
  • Phone: 813-464-0846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 3501
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 6506
License Number StateFL

VIII. Authorized Official

Name: MS. LORI A. NORRIS
Title or Position: MANAGING MEMBER
Credential: LMHC
Phone: 813-464-0846