Organization · NPI-2

Advanced Practice Skills Workshop LLC

Clinic/Center, Adult Mental Health · Lutz, FL

NPI number1306685003
StatusActive
Last updated in NPPESJan 2, 2025

Details

NPI
1306685003
Entity type
Organization (NPI-2)
Legal business name
Advanced Practice Skills Workshop LLC
Organization subpart
No
Enumeration date
May 22, 2024
Certification date
Jan 2, 2025
Last updated
Jan 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QP2300X Clinic/Center, Primary Care––

Other names

  • Expanded Health (Doing Business As)

Practice location

2927 Pearson James Place
Lutz, FL 33559

Phone 813-428-5295

Mailing address

Po Box 47475
Tampa, FL 33646-0113

Phone 404-370-2158

Authorized official

Erica R Evans
Co-Owner
4043702158

Is something wrong?

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