Organization
COHERENT MIND P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMUEL ROBERT MYRICK LCSW (OWNER)
(850) 363-7161
Entity
Organization
Contact information
Practice address
123 W HOLLYWOOD ST, TAMPA, FL 33604-4041
(850) 363-7161
Mailing address
123 W HOLLYWOOD ST, TAMPA, FL 33604-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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