Organization
STARFISH COLLABORATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE PALMER-SMITH PHD (PRESIDENT)
(321) 313-4116
Entity
Organization
Contact information
Practice address
341 4TH AVE, INDIALANTIC, FL 32903-4213
(321) 313-4116
Mailing address
341 4TH AVE, INDIALANTIC, FL 32903-4213
(321) 313-4116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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