Organization
TREASURE COAST PSYCHOLOGY, INC.
Active
Organization
TREASURE COAST PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY L MIDDLEBROOK PH.D. (PRESIDENT)
(561) 531-8356
Entity
Organization
Contact information
Practice address
819 SW FEDERAL HWY STE 200B, STUART, FL 34994-2952
(561) 531-8356
Mailing address
819 SW FEDERAL HWY STE 200B, STUART, FL 34994-2952
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY 9495
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PY 9495
FL
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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