| St. Petersburg Counseling, Llc | |
|
3775 Central Ave Saint Petersburg FL 33713-8338 | |
| (727) 437-6222 | |
| Not Available |
| Full Name | St. Petersburg Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3775 Central Ave, Saint Petersburg, Florida |
| Authorized Official Name and Position | Lisa A. Baker (PRESIDENT) |
| Authorized Official Contact | 7274376222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Petersburg Counseling, Llc 10228 Paradise Blvd Treasure Island FL 33706-3119 Ph: (727) 437-6222 | St. Petersburg Counseling, Llc 3775 Central Ave Saint Petersburg FL 33713-8338 Ph: (727) 437-6222 |
| NPI Number | 1164893897 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164893897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12064 (Florida) | Primary |
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