Provider Demographics
NPI:1104616291
Name:SABELKO, KYANA (RCSWI)
Entity type:Individual
Prefix:
First Name:KYANA
Middle Name:
Last Name:SABELKO
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7627 FRENCH MARIGOLD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-6943
Mailing Address - Country:US
Mailing Address - Phone:920-912-4398
Mailing Address - Fax:
Practice Address - Street 1:3803 HAINES RD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-5625
Practice Address - Country:US
Practice Address - Phone:727-373-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical