Organization
BISPHAM PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA BISPHAM LMHC (OWNER)
(941) 544-1303
Entity
Organization
Contact information
Practice address
715 N WASHINGTON BLVD STE A, SARASOTA, FL 34236-4256
(941) 404-5557
Mailing address
715 N WASHINGTON BLVD STE A, SARASOTA, FL 34236-4256
(941) 404-5557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15294
FL
Other
Enumeration date
05/25/2018
Last updated
10/09/2020
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