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Contact Information

HARBORSIDE PSYCHIATRIC SERVICES, LLC
150 W. MCKENZIE STREET
SUITE #117
PUNTA GORDA, FL33950
 Phone: 941-205-3333
 Fax: 941-205-3334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for HARBORSIDE PSYCHIATRIC SERVICES LLC · (Female)

NPI Number 1972788669
Status Active
Credentials
Entity Individual
Enumeration date 01/01/2008
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # L07000124924
  • FL License # ME86547
  • FL License # SW7783
  • FL Medicaid 266691001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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