Organization · Type 2 NPI

Eileen Gustafson LCSW PA

Community/Behavioral Health Agency · Tampa, FL

NPI number 1396933446 Active

Practice location

10335 Cross Creek Blvd, Suite 23
Tampa, FL 33647-2795

Call (352) 428-8463 Map

Fax (352) 597-2074

Mailing address

PO Box 5797
Spring Hill, FL 34611-5797

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLCSW 6283 (FL)

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…

9 other providers at this address

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About NPI 1396933446

Eileen Gustafson LCSW PA's National Provider Identifier is 1396933446, issued on Oct 12, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 12, 2008.