OrganizationActive
Jasper 1692 LLC
NPI 1386474377 · Clinical Social Worker · Plant City, FL
Provider details
- NPI number
- 1386474377
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alison Moore, Lcsw(813) 215-0209
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3015 Country Breeze Dr
Plant City, FL 33567-8606
Phone: (813) 215-0209
Approximate (ZIP-level) locationGet directions
Mailing address
3015 Country Breeze Dr
Plant City, FL 33567-8606
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.