Veterans & Community Resource Center Corp

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VETERANS & COMMUNITY RESOURCE CENTER CORP

Practice address

2140 9TH Ave N
Saint Petersburg, FL 33713-7134

Phone

(727) 530-5388

NPI assigned

Feb 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenya Woodard

Title

Executive Director

Phone

(727) 350-5388

Specialties & licenses 6

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1689065781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 9TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137134",
            "telephone_number": "727-530-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 9TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137134",
            "telephone_number": "727-530-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS & COMMUNITY RESOURCE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-350-5388"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian F Vestal, D.D.S.
• Viamyo LLC (ViaMyo)
• Eric Viani, PHARMD
• Sydney Viar, MSAT, ATC
• Taylor Vicente, MSW, RCSWI
• Rosmery Victoria, D.O.

• Adult Mental Health Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.