Organization
TCC PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNASHKEE CHAPMAN COLBERT LCSW (OWNER)
(601) 527-4796
Entity
Organization
Contact information
Practice address
12348 SW NETTUNO WAY, PORT SAINT LUCIE, FL 34987-5436
(601) 527-4796
Mailing address
12348 SW NETTUNO WAY, PORT SAINT LUCIE, FL 34987-5436
(601) 527-4796
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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