Provider Demographics
NPI:1750405007
Name:HUMAN SERVICES OUTCOMES, INC.
Entity type:Organization
Organization Name:HUMAN SERVICES OUTCOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-784-7650
Mailing Address - Street 1:1678 LAGO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3329
Mailing Address - Country:US
Mailing Address - Phone:727-784-7650
Mailing Address - Fax:727-781-1336
Practice Address - Street 1:101 PHILLIPPE PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3660
Practice Address - Country:US
Practice Address - Phone:727-784-7650
Practice Address - Fax:727-781-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002356101YP2500X
OHE520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty