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Organization
AUDREY THERAPY, P.A.
Active
Organization
AUDREY THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE AUDREY CLARK MA, LMHC, NCC (PRESIDENT)
(727) 537-0752
Entity
Organization
Contact information
Practice address
3502 HENDERSON BLVD STE 218, TAMPA, FL 33609-3970
(727) 537-0752
Mailing address
3502 HENDERSON BLVD STE 218, TAMPA, FL 33609-3970
(727) 537-0752
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/08/2021
Last updated
03/29/2024
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