Organization
SUNLIT PATH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOODING LCSW (OWNER)
(727) 222-3032
Entity
Organization
Contact information
Practice address
51 S MAIN AVE STE 304, CLEARWATER, FL 33765-3937
(727) 784-8244
(727) 287-9302
Mailing address
4650 43RD PL N, ST PETERSBURG, FL 33714-3420
(941) 400-7879
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW15496
FL DEPARTMENT OF HEALTH
FL
Enumeration date
12/27/2022
Last updated
11/24/2023
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