Organization · Type 2 NPI
Statera Psychotherapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Lutz, FL
NPI number
1699403147
Active
Practice location
19730 Morden Blush Dr
Lutz, FL 33558-9088
Fax (813) 296-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1699403147
Statera Psychotherapy LLC's National Provider Identifier is 1699403147, issued on Aug 11, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lutz, FL. The record was last updated on Aug 11, 2022.