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Statera Psychotherapy Llc
Adolescent and Children Mental Health Clinic/Center in Lutz, Florida
NPI 1699403147

Statera Psychotherapy Llc is an Adolescent and Children Mental Health Clinic/Center based in Lutz, FL and is specialized in Adolescent and Children Mental Health. Statera Psychotherapy Llc practices in Lutz, FL. The NPI Number for Statera Psychotherapy Llc is 1699403147 and holds a License No. (Florida).

The current practice location address for Statera Psychotherapy Llc is 19730 Morden Blush Dr, Lutz, FL and can be reached out via phone at 813-438-6115 and via fax at 813-296-2115.

Location: 19730 Morden Blush Dr, Lutz, FL, 33558-9088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699403147
Provider Name
Statera Psychotherapy Llc
Credential
Provider Entity Type
Organization
Address
19730 Morden Blush Dr, Lutz, FL, 33558-9088
Phone Number
813-438-6115
Fax Number
813-296-2115
Provider Enumeration Date
08/11/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
19730 Morden Blush Dr
City
Lutz
State
Florida
Zip
33558-9088
Phone Number
813-438-6115
Fax Number
813-296-2115
person
Provider Business Mailing Address Details
Address
19730 Morden Blush Dr
City
Lutz
State
Florida
Zip
33558-9088
Phone Number
813-438-6115
Fax Number
813-296-2115
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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