| NPI | 1558627117 |
|---|---|
| Former Legal Business Name | TWO SPIRIT HEALTH SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | NICOLE STEWART Credentialing Specialist 321-800-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-12-11 |