Provider Demographics
NPI:1497318414
Name:INHERENT STRENGTH, LLC.
Entity Type:Organization
Organization Name:INHERENT STRENGTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, FOUNDING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ISABELLE
Authorized Official - Last Name:SCHMICK-DISTEFANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-744-8732
Mailing Address - Street 1:4619 HELENA ST NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-4357
Mailing Address - Country:US
Mailing Address - Phone:727-744-8732
Mailing Address - Fax:
Practice Address - Street 1:689 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3664
Practice Address - Country:US
Practice Address - Phone:727-744-8732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)