Provider Demographics
NPI:1225805690
Name:KARINA PRIEST COUNSELING CENTER
Entity Type:Organization
Organization Name:KARINA PRIEST COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-329-4515
Mailing Address - Street 1:1971 SW YELLOWTAIL AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2479
Mailing Address - Country:US
Mailing Address - Phone:561-329-4515
Mailing Address - Fax:
Practice Address - Street 1:1100 SW SAINT LUCIE WEST BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1735
Practice Address - Country:US
Practice Address - Phone:561-329-4515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health