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Organization
SIESTA ADDICTIONS SPECIALISTS
Active
Organization
SIESTA ADDICTIONS SPECIALISTS
Active
Other names
Sarasota addiction specialists, MindSol Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SMITH BENSON LMHC (CEO)
(941) 343-7244
Entity
Organization
Contact information
Practice address
715 N WASHINGTON BLVD STE E, SARASOTA, FL 34236-4256
(941) 343-7244
Mailing address
715 N WASHINGTON BLVD STE E, SARASOTA, FL 34236-4256
(941) 343-7244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
01/02/2019
Last updated
10/18/2023
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