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Mood By Kim
Adult Mental Health Clinic/Center in St Petersburg, Florida
NPI 1497380604

Mood By Kim is an Adult Mental Health Clinic/Center based in Peoria, FL and is specialized in Adult Mental Health. Mood By Kim practices in St Petersburg, FL. The NPI Number for Mood By Kim is 1497380604 and holds a License No. (Florida).

The current practice location address for Mood By Kim is 7901 4Th St N Ste 300, St Petersburg, FL and can be reached out via phone at 623-777-7551 and via fax at 623-666-6612.

Location: 7901 4Th St N Ste 300, St Petersburg, FL, 85382-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497380604
Provider Name
Mood By Kim
Credential
Provider Entity Type
Organization
Address
7901 4Th St N Ste 300, St Petersburg, FL, 85382-2127
Phone Number
623-777-7551
Fax Number
623-666-6612
Provider Enumeration Date
03/08/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2156425 05 WA
06543815 05 NY
993686 05 AZ
institution
Provider Business Practice Location Address Details
Address
7901 4Th St N Ste 300
City
St Petersburg
State
Florida
Zip
33702-4399
Phone Number
623-777-7551
Fax Number
623-666-6612
person
Provider Business Mailing Address Details
Address
7901 4Th St N Ste 300
City
St Petersburg
State
Florida
Zip
33702-4399
Phone Number
623-777-7551
Fax Number
623-666-6612
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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