Organization
SUNCOAST MENTAL HELATH
Active
Parent organization
SUNCOAST MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNCOAST MENTAL HEALTH
Authorized official
MRS. MARJORIE MARIE TIME (COUNSELOR)
(718) 679-6334
Entity
Organization
Contact information
Practice address
2814 SOUTH U.S HIGHWAY 1, SUITE D4, FORT PIERCE, FL 34982
(718) 679-6334
Mailing address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(718) 679-6334
(772) 489-0423
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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