Mimigrimm Ma Individual, Couple, & Family Therapy
LBN: Mimigrimm Ma Individual, Couple, & Family Therapy
Mimigrimm Ma Individual, Couple, & Family Therapy is an health care organization with primary practice located at 685 Main St Suite C, Safety Harbor FL 34695-3562. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Mimigrimm Ma Individual, Couple, & Family Therapy can be contacted via phone (727) 504-4126, or through Grimm, Mariann Elizabeth via phone (727) 504-4126.
Contact Information
Primary practice address
685 Main St Suite C
Safety Harbor FL 34695-3562
Phone: (727) 504-4126
Fax: (727) 216-3998
Website:
Authorized official contact:
Name: Grimm, Mariann Elizabeth Master of Arts (MA)
Phone: (727) 504-4126
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 2514MT | Florida |
Profile Details
| NPI number | 1649661984 |
|---|---|
| LBN Legal business name | Mimigrimm Ma Individual, Couple, & Family Therapy |
| DBA Doing business as | |
| Authorized official | Grimm, Mariann Elizabeth Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2015 |
| Last updated | Feb 9th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649661984 | NPPES |
| Florida | MEDICAID | 779438 |
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