| Statera Psychotherapy Llc | |
|
19730 Morden Blush Dr Lutz FL 33558-9088 | |
| (813) 438-6115 | |
| (813) 296-2115 |
| Full Name | Statera Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 19730 Morden Blush Dr, Lutz, Florida |
| Authorized Official Name and Position | Katalin Vinczi-sierra (MEMBER-MANAGER) |
| Authorized Official Contact | 8134386115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statera Psychotherapy Llc 19730 Morden Blush Dr Lutz FL 33558-9088 Ph: (813) 438-6115 | Statera Psychotherapy Llc 19730 Morden Blush Dr Lutz FL 33558-9088 Ph: (813) 438-6115 |
| NPI Number | 1699403147 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699403147 | NPI | - | NPPES |
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