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Organization
NEW TRANSITION THERAPY, LLC
Active
Organization
NEW TRANSITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN W BYRNES LMHC (MEMBER)
(813) 919-6185
Entity
Organization
Contact information
Practice address
400 39TH AVE S, SAINT PETERSBURG, FL 33705-3936
(813) 919-6185
Mailing address
400 39TH AVE S, SAINT PETERSBURG, FL 33705-3936
(813) 919-6185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12786
FL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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