Organization
PSYCHOTHERAPEUTIC SERVICES OF FLORIDA, IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL COOPER (CHIEF FINANCIAL OFFICER)
(410) 810-2468
Entity
Organization
Contact information
Practice address
4152 OKEECHOBEE RD STE C, FORT PIERCE, FL 34947-5402
(772) 467-3097
Mailing address
870 HIGH ST STE 2, CHESTERTOWN, MD 21620-3914
(410) 788-1099
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/10/2021
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