Provider Demographics
NPI:1902064926
Name:JUVENILE WELFARE BOARD OF PINELLAS COUNTY
Entity Type:Organization
Organization Name:JUVENILE WELFARE BOARD OF PINELLAS COUNTY
Other - Org Name:JWB A CHILDREN'S SERVICES COUNCIL OF PINELLAS COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-547-5631
Mailing Address - Street 1:6698 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5015
Mailing Address - Country:US
Mailing Address - Phone:727-547-5600
Mailing Address - Fax:
Practice Address - Street 1:6698 68TH AVE
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5015
Practice Address - Country:US
Practice Address - Phone:727-547-5610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management