Provider Demographics
NPI:1760154918
Name:ARGIRO, PATRICK (CTP, CGCS, CTTP, MCC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:ARGIRO
Suffix:
Gender:M
Credentials:CTP, CGCS, CTTP, MCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:FL
Mailing Address - Zip Code:33877-0220
Mailing Address - Country:US
Mailing Address - Phone:754-779-0220
Mailing Address - Fax:
Practice Address - Street 1:932 HART STREET
Practice Address - Street 2:SUITE B
Practice Address - City:WAVERLY
Practice Address - State:FL
Practice Address - Zip Code:33877
Practice Address - Country:US
Practice Address - Phone:754-779-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health