Organization · Type 2 NPI
Coastal Therapy Associates LLC
Psychiatric/Mental Health Nurse Practitioner · Port St. Joe, FL
NPI number
1790277689
Active
Practice location
3050 W Highway 98 Unit B7
Port St. Joe, FL 32456-4718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2801262 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1790277689
Coastal Therapy Associates LLC's National Provider Identifier is 1790277689, issued on Jun 5, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port St. Joe, FL. The record was last updated on Mar 3, 2021.