Provider Demographics
NPI:1013359926
Name:CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA
Entity Type:Organization
Organization Name:CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP
Authorized Official - Phone:941-915-8167
Mailing Address - Street 1:425 COMMERCIAL CT
Mailing Address - Street 2:SIUTE 100
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1648
Mailing Address - Country:US
Mailing Address - Phone:941-488-4811
Mailing Address - Fax:941-488-4899
Practice Address - Street 1:425 COMMERCIAL CT
Practice Address - Street 2:SIUTE 100
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1648
Practice Address - Country:US
Practice Address - Phone:941-488-4811
Practice Address - Fax:941-488-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty