Organization
SUNCOAST CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA E. DAIRE LCSW (PRESIDENT/CEO)
(727) 327-7656
Entity
Organization
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 322-2130
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 327-0350
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003203800
—
FL
05
—
003203801
—
FL
05
—
060381300
—
FL
05
—
060381301
—
FL
05
—
060381302
—
FL
05
—
060381306
—
FL
05
—
060381309
—
FL
05
—
060381317
—
FL
Enumeration date
07/29/2005
Last updated
11/20/2020
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