SAMUEL HOLTE COUNSELING


Address: 1432 Martin Luther King St N # Jrn, St Petersburg, FL 33704-3302
Phone: 7278217771

SAMUEL HOLTE COUNSELING (NPI# 1750880811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750880811
Entity Type Organization
Organization Name SAMUEL HOLTE COUNSELING
Practice Address 1432 Martin Luther King St N # Jrn
St Petersburg
FL 33704-3302
Mailing Address 2715 Miriam St S
Gulfport
FL 33711-3717
Practice Telephone 7278217771
Mailing Telephone 7277735507
Enumeration Date 2018-02-05
Last Update Date 2018-02-05
Authorized Official Name MR. SAMUEL J HOLTE (LICENSED MENTAL HEALTH COUNSELOR)
Authorized Official Telephone 7277735507
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
MH14145 FL Ambulatory Health Care Facilities

Office Location

Street Address 1432 MARTIN LUTHER KING ST N # JRN
City ST PETERSBURG
State FL
Zip Code 33704-3302

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1174719819 Suncoast Center for Community Mental Health Clinic/Center 1001 16th St S, St Petersburg, FL 33705-2231 2007-09-17
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1528219888 Fresh Start Counseling Services LLC Clinic/Center 9600 Koger Blvd N, #240, St Petersburg, FL 33702-2487 2008-10-06

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Competitor

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City ST PETERSBURG
Zip Code 33704

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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