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Organization
PSYCHOTHERAPY CENTER OF INDIAN RIVER LLC
Active
Organization
PSYCHOTHERAPY CENTER OF INDIAN RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA GRANT LMFT, MCAP (OWNER THERAPIST)
(772) 584-2501
Entity
Organization
Contact information
Practice address
1717 20TH ST STE 102, VERO BEACH, FL 32960-0619
(772) 584-2501
Mailing address
1717 20TH ST STE 102, VERO BEACH, FL 32960-0619
(772) 584-2501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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