Organization
SAMUEL HOLTE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL J HOLTE MA (LICENSED MENTAL HEALTH COUNSELOR)
(727) 773-5507
Entity
Organization
Contact information
Practice address
1432 MARTIN LUTHER KING ST N # JRN, ST PETERSBURG, FL 33704-3302
(727) 821-7771
Mailing address
2715 MIRIAM ST S, GULFPORT, FL 33711-3717
(727) 773-5507
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH14145
FL
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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