Organization · Type 2 NPI

Stallworth Community Services Inc

Community/Behavioral Health Agency · Bradenton, FL

NPI number 1265690366 Active

Practice location

304 26th Avenue East
Bradenton, FL 34208

Call (941) 536-4449 Map

Fax (941) 355-8699

Mailing address

PO Box 57
Tallevast, FL 34270

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1265690366
Entity type: Organization (Type 2)
Issued: May 27, 2008
Last updated: May 27, 2008
Status: Active

Other names

<unavail>
Successful Development Inc · former legal business name

Authorized official

Mrs. Janell Latrice Stallworth, MA
President Executive Director
(941) 536-4449

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265690366

Stallworth Community Services Inc's National Provider Identifier is 1265690366, issued on May 27, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Bradenton, FL. The record was last updated on May 27, 2008.