Provider Demographics
NPI:1629253919
Name:MARRIAGE & FAMILY COUNSELING OF PINELLAS, INC.
Entity Type:Organization
Organization Name:MARRIAGE & FAMILY COUNSELING OF PINELLAS, INC.
Other - Org Name:MARRIAGE & FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-381-9400
Mailing Address - Street 1:6798 CROSSWINDS DR N
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8603
Mailing Address - Country:US
Mailing Address - Phone:727-381-9400
Mailing Address - Fax:727-381-9181
Practice Address - Street 1:6798 CROSSWINDS DR N
Practice Address - Street 2:SUITE B-102
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8603
Practice Address - Country:US
Practice Address - Phone:727-381-9400
Practice Address - Fax:727-381-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health