Organization
STARTING POINTE RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE JACKSON RN (PRESIDENT/CEO)
(517) 410-6164
Entity
Organization
Contact information
Practice address
201 4TH AVE E STE 2, BRADENTON, FL 34208-1043
(941) 226-0018
(941) 260-4872
Mailing address
201 4TH AVE E STE 2, BRADENTON, FL 34208-1043
(941) 226-0018
(941) 260-4872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122264900
—
FL
Enumeration date
02/06/2024
Last updated
09/11/2024
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