# PORTER PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1861246472
- **Authorized official:** DANIELLE PORTER APRN, PMHNP-BC (FOUNDER)
- **Authorized official phone:** (813) 310-6109

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (813) 922-5864
- **Practice address fax:** (813) 336-8406
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Mailing address phone:** (813) 922-5864
- **Mailing address fax:** (813) 336-8406

## 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:** 04/11/2024
- **Last updated:** 04/11/2024