Organization · NPI-2

Afterglow Trauma Therapy LLC

Clinic/Center, Adult Mental Health · St Petersburg, FL

NPI number1982563201
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1982563201
Entity type
Organization (NPI-2)
Legal business name
Afterglow Trauma Therapy LLC
Organization subpart
No
Enumeration date
Jan 21, 2026
Certification date
Jan 19, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

7901 4th St N Ste 300
St Petersburg, FL 33702-4399

Phone 904-817-0519

Mailing address

7901 4th St N Ste 300
St Petersburg, FL 33702-4399

Authorized official

Olivia Lauzon
Owner
7742733425

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