Organization
SUNCOAST FAMILY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS HANNAH BOWERS PARKER PH.D (OWNER)
(941) 586-4561
Entity
Organization
Contact information
Practice address
5624 PALMER BLVD, SARASOTA, FL 34232-2736
(941) 586-4561
Mailing address
1184 FRASER PINE BLVD, SARASOTA, FL 34240-1412
(941) 586-4561
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851640346
—
NM
Enumeration date
11/17/2018
Last updated
11/19/2018
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