Organization
SRQ LIFE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE HABER LCSW (OWNER)
(941) 685-7148
Entity
Organization
Contact information
Practice address
2477 STICKNEY POINT RD STE 115B, SARASOTA, FL 34231-4092
(941) 685-7148
Mailing address
2477 STICKNEY POINT RD STE 115B, SARASOTA, FL 34231-4092
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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