Suncoast Therapy, LLC
Speech-Language Pathologist, in Yulee, FL. Organization (NPI-2).
NPI number1295301281
StatusActive
Last updated in NPPESMay 31, 2021
Details
- NPI
- 1295301281
- Entity type
- Organization (NPI-2)
- Legal business name
- Suncoast Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 31, 2021
- Certification date
- May 31, 2021
- Last updated
- May 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
464073 State Road 200Yulee, FL 32097-6307
Phone 941-485-0121 · Fax 941-485-0519
Mailing address
Po Box 631278Cincinnati, OH 45263-1278
Phone 941-485-0121 · Fax 941-485-0519
Authorized official
Dawn Wildermuth
Owner
9414850121
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