Organization
SUNCOAST THERAPY, LLC
Active
Organization
SUNCOAST THERAPY, LLC
Active
Other names
Suncoast Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BUSH (CREDENTIALING MANAGER)
(847) 584-2604
Entity
Organization
Contact information
Practice address
2574 COMMERCE PKWY, NORTH PORT, FL 34289-9334
(941) 485-0121
(847) 584-2604
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(941) 485-0121
(847) 584-2604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/23/2010
Last updated
09/14/2022
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