Organization
SHARDAE TRIPP COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDAE TRIPP LMHC (CEO)
(772) 418-7797
Entity
Organization
Contact information
Practice address
5590 NW PINE TRAIL CIRCLE, PORT ST LUCIE, FL 34983
(772) 418-7797
Mailing address
1860 SW FOUNTAINVIEW BLVD STE 100, PORT ST LUCIE, FL 34986-4528
(772) 418-7797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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