Organization
THE BEACH THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE KATIFEDENIOS LCSW (OWNER)
(484) 767-9966
Entity
Organization
Contact information
Practice address
2792 PEACHTREE CIR, CLEARWATER, FL 33761-3838
(484) 767-9966
Mailing address
2792 PEACHTREE CIR, CLEARWATER, FL 33761-3838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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