Organization
BAYBROOKE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONDA SUE MILLER LMHC (PRESIDENT)
(727) 827-7890
Entity
Organization
Contact information
Practice address
4995 49TH ST N, ST PETERSBURG, FL 33709
(727) 827-7890
(727) 279-4631
Mailing address
4995 49TH ST N, ST PETERSBURG, FL 33709
(727) 827-7890
(727) 279-4631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13006
FL
Other
Enumeration date
01/02/2015
Last updated
12/11/2018
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