| Star Family Therapy Llc | |
|
7901 4th Street #5218 St Petersburg FL 33702 | |
| (305) 791-0288 | |
| Not Available |
| Full Name | Star Family Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7901 4th Street, St Petersburg, Florida |
| Authorized Official Name and Position | Kelly Boyle (OWNER/MBR) |
| Authorized Official Contact | 3057910288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Family Therapy Llc 7901 4th Street #5218 St Petersburg FL 33702 Ph: (408) 596-1615 | Star Family Therapy Llc 7901 4th Street #5218 St Petersburg FL 33702 Ph: (305) 791-0288 |
| NPI Number | 1740933555 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740933555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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