Provider Demographics
NPI:1538472519
Name:SEEK CHILDLIFE
Entity Type:Organization
Organization Name:SEEK CHILDLIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD LIFE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRETE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCLS
Authorized Official - Phone:941-284-4734
Mailing Address - Street 1:7323 BLACK WALNUT WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-6401
Mailing Address - Country:US
Mailing Address - Phone:941-284-4734
Mailing Address - Fax:
Practice Address - Street 1:7323 BLACK WALNUT WAY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-6401
Practice Address - Country:US
Practice Address - Phone:941-284-4734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty