Organization
THRYV THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K'BRIA CHARLOTIN LCSW (CEO/OWNER)
(813) 713-5538
Entity
Organization
Contact information
Practice address
37312 MAIN AVE, DADE CITY, FL 33523-3026
(813) 713-5538
Mailing address
37312 MAIN AVE, DADE CITY, FL 33523-3026
(813) 713-5538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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