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Organization
THERAPEUTIC INTERVENTIONS AND CONSULTING SERVICES, INC.
Active
Organization
THERAPEUTIC INTERVENTIONS AND CONSULTING SERVICES, INC.
Active
Other names
Successful Development, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL STALLWORTH (PRESIDENT)
(941) 623-6355
Entity
Organization
Contact information
Practice address
2700 LEON AVE, SARASOTA, FL 34234-4714
(941) 623-6355
Mailing address
PO BOX 49214, SARASOTA, FL 34230-6214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH8280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690209096
—
FL
05
—
690209098
—
FL
Enumeration date
09/20/2010
Last updated
09/20/2010
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