Provider Demographics
NPI:1710635362
Name:NEST DEVELOPMENTAL SERVICES, LLC
Entity Type:Organization
Organization Name:NEST DEVELOPMENTAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUNT-FELKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-388-7546
Mailing Address - Street 1:2701 W BUSCH BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4578
Mailing Address - Country:US
Mailing Address - Phone:626-388-7546
Mailing Address - Fax:
Practice Address - Street 1:2701 W BUSCH BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4578
Practice Address - Country:US
Practice Address - Phone:626-388-7546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty