Organization

Heroic Health Group Llc

Counselor in Pinellas Park, FL(View on Map)

Legal Business Name

Heroic Health Group Llc

NPI Number

1194364844

NPI Type

Organization

Enumeration Date

12/29/2019

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2525
6701 49TH ST N

City

Largo
Pinellas Park

State

FL
FL

Postal Code

33779
33781-5728

Country

US
US

Telephone Number

(727) 386-9549
(727) 386-9549

Authorized Official

Name

Matthew Fahy

Title or Position

LEAD THERAPIST

Telephone Number

(727) 386-9549

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

therapy@mattfahy.com

Endpoint Description

professional email

Use

Direct

Content Type

Other

Other Description:
variable

Affiliation

N

Endpoint Location

6701 49th St NPinellas Park, FL337815728US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/14/2021

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