Healthcare Provider Details

I. General information

NPI: 1477988343
Provider Name (Legal Business Name): CARING COMMUNITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 5TH AVE N
SAINT PETERSBURG FL
33713-7521
US

IV. Provider business mailing address

3840 5TH AVE N
SAINT PETERSBURG FL
33713-7521
US

V. Phone/Fax

Practice location:
  • Phone: 727-367-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH10356
License Number StateFL

VIII. Authorized Official

Name: AMBER CALHOUN
Title or Position: FOUNDER/ OWNER
Credential:
Phone: 727-367-2273