Organization
HARBORSIDE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN E. FLYNN LCSW (PARTNER)
(941) 205-3333
Entity
Organization
Contact information
Practice address
150 W. MCKENZIE STREET, SUITE #117, PUNTA GORDA, FL 33950
(941) 205-3333
(941) 205-3334
Mailing address
150 W. MCKENZIE STREET, SUITE #117, PUNTA GORDA, FL 33950-5500
(941) 205-3333
(941) 205-3334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW7783
FL
2084N0400X
Neurology Physician
L07000124924
FL
2084P0800X
Psychiatry Physician
Primary
L07000124924
FL
2084P0800X
Psychiatry Physician
ME86547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266691001
—
FL
Enumeration date
01/01/2008
Last updated
05/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us