Shoreline Counselor
Counselor, Mental Health in St Petersburg, FL. Organization (NPI-2).
NPI number1831998996
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1831998996
- Entity type
- Organization (NPI-2)
- Legal business name
- Shoreline Counselor
- Organization subpart
- No
- Enumeration date
- Mar 11, 2025
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
561 11th Ave SSt Petersburg, FL 33701-5229
Phone 813-528-5739
Mailing address
561 11th Ave SSt Petersburg, FL 33701-5229
Phone 813-528-5739
Authorized official
Bridget Stanton
Owner
8135285739
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