Organization
MINDFUL RAICES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHANNON GILLESPIE LCSW (CO- OWNER CLINICAL SOCIAL WORKER)
(863) 250-5447
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(863) 250-5447
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(863) 250-5447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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