| Organization Name: | PALM HARBOR FAMILY COUNSELING CENTER INC. |
| NPI Number: | 1538205885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE J MILLER MANDELL (OWNER THERAPIST) |
| Mailing Address: | 350 Alt 19 C Palm Harbor |
| State: | FL US |
| Postal Code: | 346835303 |
| Phone Number: | 7272549183 |
| Fax Number: | 8883457010 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | I0005085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |