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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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