Organization
PAWSITIVE PSYCHIATRY, LLC
Active
Other names
Pawsitive Psychiatry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WHITE APRN (PMHNP-BC)
(941) 525-2766
Entity
Organization
Contact information
Practice address
20394 GALILEO PL, VENICE, FL 34293-1579
(941) 265-8306
(941) 462-1864
Mailing address
350 W VENICE AVE, VENICE, FL 34285-0001
(941) 265-8306
(941) 462-1864
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477624294
—
MA
Enumeration date
02/16/2022
Last updated
03/06/2022
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