Holistic Coaching Treatment Center
Clinical Nurse Specialist in St Petersburg, Florida
NPI 1992286900
Holistic Coaching Treatment Center is a Clinical Nurse Specialist based in St Petersburg, FL. Holistic Coaching Treatment Center practices in St Petersburg, FL. The NPI Number for Holistic Coaching Treatment Center is 1992286900 and holds a License No. ISW11776 (Florida).
The current practice location address for Holistic Coaching Treatment Center is 3510 1St Ave S # 226, St Petersburg, FL and can be reached out via phone at 727-678-1751.
Location: 3510 1St Ave S # 226, St Petersburg, FL, 33711-1304
Provider Profile Details
NPI Number
1992286900
Provider Name
Holistic Coaching Treatment Center
Credential
Provider Entity Type
Organization
Address
3510 1St Ave S # 226, St Petersburg, FL, 33711-1304
Phone Number
727-678-1751
Fax Number
Provider Enumeration Date
08/27/2018
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063865608 | 05 | FL | |
| 1871048314 | 05 | FL | |
| 1346559820 | 05 | FL | |
| 1407055171 | 05 | FL |
Provider Business Practice Location Address Details
Address
3510 1St Ave S # 226
City
State
Zip
33711-1304
Phone Number
727-678-1751
Fax Number
Provider Business Mailing Address Details
Address
3510 1St Ave S # 226
City
State
Zip
33711-1304
Phone Number
727-678-1751
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ARNP9400491 (Florida)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
ISW11776 (Florida)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
ISW11776 (Florida)
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
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
ARNP9400491 (Florida)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
ME106165 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
ME106165 (Florida)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
MH7947 (Florida)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
ISW11776 (Florida)
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
License No.
ISW11776 (Florida)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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