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 132 10Th Ave N 103 D, Safety Harbor FL 34695-3407. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, 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
132 10Th Ave N 103 D Safety Harbor FL 34695-3407
Fax: (727) 216-3998
Website:
Authorized official contact:
Name: Grimm, Mariann Elizabeth Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2514 Florida

Profile Details

NPI number 1689041618
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 Aug 25th, 2015
Last updated Aug 25th, 2015 - about 10 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 1689041618 NPPES
Florida MEDICAID 011891300

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