Organization
CAROLE SHARMAN
Active
Other names
CLINICAL PSYCHOTHERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA D. HANES PHD (CFO)
(727) 341-0097
Entity
Organization
Contact information
Practice address
1135 PASADENA AVE S STE 302, SOUTH PASADENA, FL 33707-2856
(727) 341-0097
(727) 343-6419
Mailing address
3103 S DEBAZAN AVE, ST PETE BEACH, FL 33706-4031
(727) 341-0097
(727) 343-6419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218196
—
FL
Enumeration date
03/01/2019
Last updated
03/01/2019
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