# CARATIVE PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437745874
- **Authorized official:** ASHLEY CYRONAK MSN, APRN, FNP-C, PM (OWNER)
- **Authorized official phone:** (843) 474-5578

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (843) 474-5578
- **Practice address fax:** (843) 790-1871
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Mailing address phone:** (843) 474-5578
- **Mailing address fax:** (843) 790-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2020
- **Last updated:** 09/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 601542919 | MAGELLAN | — |
| 01 | — | 6211141 | AETNA | — |
| 01 | — | LYI4L | BCBS | FL |