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
Fax: (727) 216-3998
Website:
Authorized official contact:
Name: Grimm, Mariann Elizabeth Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649661984 NPPES
Florida MEDICAID 779438

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